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1013944974
KEITH EDWIN PENNER
THOMASVILLE, NC
NPI
1013944974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 051810)
Enumeration Date
2006-06-27
Last Update Date
2020-10-27
Business Address
Mr. KEITH EDWIN PENNER CRNA
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360-3428
Phone number: 336-476-2586
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Mailing Address
Mr. KEITH EDWIN PENNER CRNA
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360-3428
Phone number: 336-476-2586
Copy
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