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1649746249
TEADRA PENNYCOOKE
CARLISLE, PA
NPI
1649746249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: PA SP019459)
Enumeration Date
2018-10-22
Last Update Date
2018-11-29
Business Address
TEADRA PENNYCOOKE CRNP
1 LONGSDORF WAY
CARLISLE, PA 17015-7623
Phone number: 203-918-4796
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Mailing Address
TEADRA PENNYCOOKE CRNP
1 LONGSDORF WAY
CARLISLE, PA 17015-7623
Phone number: 717-323-4001
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