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1083664478
STEVEN L PENN
SOUTHFIELD, MI
NPI
1083664478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704138637)
Enumeration Date
2006-05-10
Last Update Date
2011-12-09
Business Address
-- STEVEN L PENN CRNA
22401 FOSTER WINTER DR
SOUTHFIELD, MI 48075-3724
Phone number: 248-423-5100
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Mailing Address
-- STEVEN L PENN CRNA
15540 PROMENADE AVE
ALLEN PARK, MI 48101-1123
Phone number: 313-388-5837
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