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1194717157
SUSAN KAY PENNYPACKER
GRAY, TN
NPI
1194717157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 6966)
Enumeration Date
2005-08-16
Last Update Date
2011-11-08
Business Address
Ms. SUSAN KAY PENNYPACKER FNP C
140 OLD GRAY STATION RD SUITE 200
GRAY, TN 37615
Phone number: 423-477-2042
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Mailing Address
Ms. SUSAN KAY PENNYPACKER FNP C
140 OLD GRAY STATION RD SUITE 200
GRAY, TN 37615
Phone number: 423-477-2042
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