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1689130916
SUSAN PENG
KENOVA, WV
NPI
1689130916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: WV APRN54755)
Enumeration Date
2019-02-12
Last Update Date
2023-04-14
Business Address
SUSAN PENG APRN
750 OAK ST
KENOVA, WV 25530-1517
Phone number: 304-453-6136
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Mailing Address
SUSAN PENG APRN
1448 10TH AVE STE 304
HUNTINGTON, WV 25701-3579
Phone number: 304-453-6136
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