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1740844612
CORLISS PENA
NORFOLK, NE
NPI
1740844612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NE 58811)
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
CORLISS PENA
406 N COTTONWOOD ST
NORFOLK, NE 68701-4210
Phone number: 402-644-2546
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Mailing Address
CORLISS PENA
406 N COTTONWOOD ST
NORFOLK, NE 68701-4210
Phone number: 402-644-2546
Copy
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