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1093937344
PENNY ANN WEAVER-RANDLE
COLUMBUS, MS
NPI
1093937344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS P260275)
Enumeration Date
2007-05-03
Last Update Date
2007-07-09
Business Address
PENNY ANN WEAVER-RANDLE LPN
383 BARCLAY DR
COLUMBUS, MS 39702-4425
Phone number: 662-327-7315
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Mailing Address
PENNY ANN WEAVER-RANDLE LPN
383 BARCLAY DR
COLUMBUS, MS 39702-4425
Phone number: 662-327-7315
Copy
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