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1720296411
ANDREA J PENNINGTON
SOUTHFIELD, MI
NPI
1720296411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI 4301407512)
Enumeration Date
2007-05-18
Last Update Date
2015-08-31
Business Address
-- ANDREA J PENNINGTON MD
25720 SOUTHFIELD RD APT 104
SOUTHFIELD, MI 48075-1842
Phone number: 313-300-3738
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Mailing Address
-- ANDREA J PENNINGTON MD
PO BOX 37648
OAK PARK, MI 48237-0648
Phone number: 313-300-3738
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