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1972137685
PAMELA SUE EZELL
BILOXI, MS
NPI
1972137685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS AT0565)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
PAMELA SUE EZELL ATC, LAT
920 CEDAR LAKE RD STE C
BILOXI, MS 39532-2107
Phone number: 228-396-5271
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Mailing Address
PAMELA SUE EZELL ATC, LAT
7601 CLAMSHELL AVE
OCEAN SPRINGS, MS 39564-7695
Phone number: 228-365-4369
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