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1669749768
PAMELA R KANICKI
JAMESTOWN, NY
NPI
1669749768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 007966-1)
Enumeration Date
2011-11-18
Last Update Date
2014-01-10
Business Address
-- PAMELA R KANICKI PTA
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-338-0668
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Mailing Address
-- PAMELA R KANICKI PTA
774 FAIRMOUNT AVE
JAMESTOWN, NY 14701-2609
Phone number: 716-338-0668
Copy
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