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1639560840
SUZANNE PENGELLY
DALLAS, GA
NPI
1639560840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-02-10
Last Update Date
2015-02-10
Business Address
SUZANNE PENGELLY
106 SOUTHSHORE PASS
DALLAS, GA 30157-1606
Phone number: 678-403-2952
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Mailing Address
SUZANNE PENGELLY
106 SOUTHSHORE PASS
DALLAS, GA 30157-1606
Phone number: 678-403-2952
Copy
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