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1720445463
THERESA LOUISE PENNINGTON
POPLAR BLUFF, MO
NPI
1720445463
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MO 2016001340)
Enumeration Date
2016-01-26
Last Update Date
2020-09-01
Business Address
THERESA LOUISE PENNINGTON FNP-BC
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901-1573
Phone number: 573-776-2600
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Mailing Address
THERESA LOUISE PENNINGTON FNP-BC
14030 HIGHWAY 160
HARVIELL, MO 63945-8161
Phone number: 573-714-4228
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