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1255380747
SAMUEL PENNELL
COLUMBUS, GA
NPI
1255380747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN049345)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- SAMUEL PENNELL CRNA
2122 MANCHESTER EXPY
COLUMBUS, GA 31904-6878
Phone number: 705-596-4000
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Mailing Address
-- SAMUEL PENNELL CRNA
PO BOX 235019
MONTGOMERY, AL 36123-5019
Phone number: 334-279-1450
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