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1386918043
CAROLYN PENEGOR
MILWAUKEE, WI
NPI
1386918043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 4784-33)
Enumeration Date
2012-02-28
Last Update Date
2023-06-26
Business Address
CAROLYN PENEGOR FNP-BC
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204-2203
Phone number: 414-672-1353
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Mailing Address
CAROLYN PENEGOR FNP-BC
PO BOX 778789
CHICAGO, IL 60677-8789
Phone number: 414-672-1353
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