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1013016989
DANETTE PENGILLY
BISMARCK, ND
NPI
1013016989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: ND R23780)
Enumeration Date
2006-09-21
Last Update Date
2008-02-29
Business Address
-- DANETTE PENGILLY GNP-C
310 N 10TH ST
BISMARCK, ND 58501-4516
Phone number: 701-530-7500
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Mailing Address
-- DANETTE PENGILLY GNP-C
310 N 10TH ST
BISMARCK, ND 58501-4516
Phone number: 701-530-7500
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