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1881603462
PAMELA H FORNELL
MADISON, WI
NPI
1881603462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: WI 1353-24)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- PAMELA H FORNELL PT
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-263-8412
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Mailing Address
-- PAMELA H FORNELL PT
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-263-8412
Copy
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