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1770757999
PAMELA ANN IVES
BLOOMINGTON, IL
NPI
1770757999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-04-18
Last Update Date
2008-04-18
Business Address
-- PAMELA ANN IVES
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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Mailing Address
-- PAMELA ANN IVES
803 E BUCHANAN ST
BLOOMINGTON, IL 61701-6806
Phone number: 319-621-6686
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