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1063115137
PENNY GOUMENIDIS
MODESTO, CA
NPI
1063115137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 62524)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2023-03-27
Last Update Date
2023-05-16
Business Address
PENNY GOUMENIDIS PA-C
1441 FLORIDA AVE
MODESTO, CA 95350-4404
Phone number: 209-578-1211
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Mailing Address
PENNY GOUMENIDIS PA-C
425 DELLBROOK AVE
SOUTH SAN FRANCISCO, CA 94080-1231
Phone number:
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