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1285461822
STEPHANIE GAIL PENACHO
MUNSTER, IN
NPI
1285461822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: IN 71015728A)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
STEPHANIE GAIL PENACHO PMHNP
9410 CALUMET AVE STE 101
MUNSTER, IN 46321-0018
Phone number: 219-922-8051
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Mailing Address
STEPHANIE GAIL PENACHO PMHNP
9410 CALUMET AVE STE 101
MUNSTER, IN 46321-0018
Phone number: 219-922-8051
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