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1174155568
NICOLLETTE PENNER
SAN DIEGO, CA
NPI
1174155568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 292631)
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
NICOLLETTE PENNER DPT
15004 INNOVATION DRIVE
SAN DIEGO, CA 92128
Phone number: 858-605-7189
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Mailing Address
NICOLLETTE PENNER DPT
10790 RANCHO BERNARDO RD. MAIL DROP 4S-205
SAN DIEGO, CA 92127-5705
Phone number: 858-927-5775
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