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1215091012
PATRICIA E PENNA
LAKE GROVE, NY
NPI
1215091012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: NY 371523-1)
Enumeration Date
2006-12-19
Last Update Date
2007-07-09
Business Address
-- PATRICIA E PENNA RN
14 TULIP GROVE DR
LAKE GROVE, NY 11755-1821
Phone number: 631-981-0704
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Mailing Address
-- PATRICIA E PENNA RN
14 TULIP GROVE DR
LAKE GROVE, NY 11755-1821
Phone number: 631-981-0704
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