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1306839865
PAULA LYNN PENGILLY
THIEF RIVER FALLS, MN
NPI
1306839865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ME CNP91014)
Enumeration Date
2005-08-30
Last Update Date
2020-12-04
Business Address
Mrs. PAULA LYNN PENGILLY FNP
17807 US HWY 59 NE ROSE MEDICAL MANAGEMENT
THIEF RIVER FALLS, MN 56701-5670
Phone number: 361-413-5179
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Mailing Address
Mrs. PAULA LYNN PENGILLY FNP
3461 37TH ST NE
INKSTER, ND 58233-9306
Phone number:
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