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1689602500
MARK S PENNER
SAN JOSE, CA
NPI
1689602500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA 20A8037)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
-- MARK S PENNER DO
2105 FOREST AVE
SAN JOSE, CA 95128-1425
Phone number: 408-947-2500
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Mailing Address
-- MARK S PENNER DO
PO BOX 4419
WOODLAND HILLS, CA 91365-4419
Phone number: 888-620-3100
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