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1457994220
PENELOPE JAYNE FOVALL
SILVER SPRING, MD
NPI
1457994220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: MD U02671)
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
PENELOPE JAYNE FOVALL M.Ac., L.Ac.
8720 GEORGIA AVE STE 300
SILVER SPRING, MD 20910-3614
Phone number: 301-565-4924
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Mailing Address
PENELOPE JAYNE FOVALL M.Ac., L.Ac.
8606 GRANT ST
BETHESDA, MD 20817-3754
Phone number: 240-423-9592
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