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1588874606
PATRICIA LOUISE PENICK
SAN DIEGO, CA
NPI
1588874606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA PT 16717)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Miss PATRICIA LOUISE PENICK PT
3508 WISTERIA DR
SAN DIEGO, CA 92106-1150
Phone number: 619-223-0400
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Mailing Address
Miss PATRICIA LOUISE PENICK PT
3508 WISTERIA DR
SAN DIEGO, CA 92106-1150
Phone number: 619-223-0400
Copy
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