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1538884218
SUMAN PENTA
PORTERVILLE, CA
NPI
1538884218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
Dr. SUMAN PENTA MD
465 W PUTNAM AVE
PORTERVILLE, CA 93257-3320
Phone number: 559-784-1110
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Mailing Address
Dr. SUMAN PENTA MD
291 N KESSING ST UNIT 3
PORTERVILLE, CA 93257-3456
Phone number:
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