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1386681880
GARY ELLIOT PENNER
LONGVIEW, WA
NPI
1386681880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00016397)
Enumeration Date
2006-06-01
Last Update Date
2009-12-16
Business Address
-- GARY ELLIOT PENNER MD
1615 DELAWARE ST
LONGVIEW, WA 98632-2310
Phone number: 360-414-2000
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Mailing Address
-- GARY ELLIOT PENNER MD
PO BOX 11510
WESTMINSTER, CA 92685-1510
Phone number:
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