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1184010167
MARK PENNINGER
FORT WORTH, TX
NPI
1184010167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP127793)
Enumeration Date
2015-04-07
Last Update Date
2021-04-19
Business Address
MARK PENNINGER FNP
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-6299
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Mailing Address
MARK PENNINGER FNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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