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1760484604
JOHN R PENTA
LOUISVILLE, KY
NPI
1760484604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: KY 21548)
Enumeration Date
2005-08-11
Last Update Date
2020-12-07
Business Address
JOHN R PENTA M.D.
950 BRECKENRIDGE LN STE 200
LOUISVILLE, KY 40207-5929
Phone number: 502-893-6777
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Mailing Address
JOHN R PENTA M.D.
5200 COMMERCE CROSSINGS DR FL 3
LOUISVILLE, KY 40229-2182
Phone number: 502-253-4924
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