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1619952058
PENELOPE ANN CRISP
WINSTON SALEM, NC
NPI
1619952058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 000900293)
Enumeration Date
2005-12-08
Last Update Date
2010-11-12
Business Address
-- PENELOPE ANN CRISP NP
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- PENELOPE ANN CRISP NP
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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