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1750645149
TINA LORICE PENNY
WALDORF, MD
NPI
1750645149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 20546)
Enumeration Date
2012-06-29
Last Update Date
2012-06-29
Business Address
Ms. TINA LORICE PENNY
2670 CRAIN HWY
WALDORF, MD 20601-2806
Phone number: 301-632-2185
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Mailing Address
Ms. TINA LORICE PENNY
2670 CRAIN HWY
WALDORF, MD 20601-2806
Phone number: 301-632-2185
Copy
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