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1033200183
PENNY ATTAWAY
VANDALIA, IL
NPI
1033200183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209001693)
Enumeration Date
2006-09-27
Last Update Date
2016-12-20
Business Address
PENNY ATTAWAY DNP
1404 N 5TH STREET
VANDALIA, IL 62471
Phone number: 618-283-2000
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Mailing Address
PENNY ATTAWAY DNP
1404 N 5TH STREET
VANDALIA, IL 62471
Phone number: 618-283-2000
Copy
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