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1548703036
DOMINIC PENNISI
LODI, CA
NPI
1548703036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A175794)
Enumeration Date
2016-12-01
Last Update Date
2022-02-11
Business Address
Dr. DOMINIC PENNISI M.D.
832 S FAIRMONT AVE
LODI, CA 95240-5117
Phone number: 209-365-9331
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Mailing Address
Dr. DOMINIC PENNISI M.D.
PO BOX 1434
LODI, CA 95241-1434
Phone number: 209-462-7277
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