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1023541604
JUSTIN MICHAEL PENNY
MINNEAPOLIS, MN
NPI
1023541604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 64166)
Enumeration Date
2017-04-10
Last Update Date
2020-10-30
Business Address
Dr. JUSTIN MICHAEL PENNY D.O.
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407-1453
Phone number: 612-343-7158
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Mailing Address
Dr. JUSTIN MICHAEL PENNY D.O.
2020 E 28TH ST STE 104
MINNEAPOLIS, MN 55407-1453
Phone number: 612-343-7158
Copy
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