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1346838364
STACEY MARIE PENSO
ATHENS, GA
NPI
1346838364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN192603)
Enumeration Date
2021-01-05
Last Update Date
2021-04-13
Business Address
STACEY MARIE PENSO NP-C
242 KING AVENUE SUITE 210
ATHENS, GA 30606
Phone number: 706-475-1700
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Mailing Address
STACEY MARIE PENSO NP-C
242 KING AVE. SUITE 210
ATHENS, GA 30606
Phone number:
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