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1114145687
JENNIFER ANNE PENNINGTON
MISHAWAKA, IN
NPI
1114145687
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Former Name
JENNIFER ANNE ANDREASCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02003207A)
Enumeration Date
2007-04-23
Last Update Date
2021-03-31
Business Address
JENNIFER ANNE PENNINGTON D.O.
4630 VISTULA RD
MISHAWAKA, IN 46544-4000
Phone number: 574-647-1900
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Mailing Address
JENNIFER ANNE PENNINGTON D.O.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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