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1366426124
PENELOPE FRESEMAN
PORT SAINT LUCIE, FL
NPI
1366426124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9101742)
Enumeration Date
2005-12-05
Last Update Date
2007-07-08
Business Address
Ms. PENELOPE FRESEMAN PA-C
1701 SE HILLMOOR DR SUITE 5
PORT SAINT LUCIE, FL 34952-7552
Phone number: 772-335-0060
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Mailing Address
Ms. PENELOPE FRESEMAN PA-C
2430 SW FALCON CIR
PORT SAINT LUCIE, FL 34953-2922
Phone number: 772-873-8800
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