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1710937933
MARCIA L PENNINGTON
OMAHA, NE
NPI
1710937933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 298)
Enumeration Date
2006-05-10
Last Update Date
2011-12-02
Business Address
-- MARCIA L PENNINGTON PA
1000 S. 178TH ST
OMAHA, NE 68116
Phone number: 402-717-0720
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Mailing Address
-- MARCIA L PENNINGTON PA
PO BOX 642117
OMAHA, NE 68164-8117
Phone number:
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