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1639832066
KRISTA PENROD
RIVERSIDE, CA
NPI
1639832066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018918)
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
KRISTA PENROD FNP-BC
6296 RIVER CREST DR
RIVERSIDE, CA 92507-0742
Phone number: 951-308-6000
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Mailing Address
KRISTA PENROD FNP-BC
985 PRIMROSE LN
CORONA, CA 92878-7782
Phone number: 951-207-5042
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