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1063753739
SUSAN RENEE PENN
FAYETTEVILLE, AR
NPI
1063753739
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AR 1118)
Enumeration Date
2013-03-06
Last Update Date
2013-03-06
Business Address
-- SUSAN RENEE PENN MS, RD, LD
3017 N BOB YOUNKIN DR
FAYETTEVILLE, AR 72703-3926
Phone number: 479-463-4333
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Mailing Address
-- SUSAN RENEE PENN MS, RD, LD
3017 N BOB YOUNKIN DR
FAYETTEVILLE, AR 72703-3926
Phone number: 479-463-4333
Copy
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