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1740411917
PAMELA R BASOM
AUSTIN, TX
NPI
1740411917
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Former Name
PAMELA PRESTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
Enumeration Date
2009-08-05
Last Update Date
2009-08-05
Business Address
PAMELA R BASOM
5222 BURNET RD STE 400
AUSTIN, TX 78756-2432
Phone number: 512-302-4838
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Mailing Address
PAMELA R BASOM
5222 BURNET RD STE 400
AUSTIN, TX 78756-2432
Phone number: 512-302-4838
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