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1760687032
PENNY R BENNETT
FORT WORTH, TX
NPI
1760687032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 224495)
Enumeration Date
2007-06-18
Last Update Date
2016-07-29
Business Address
-- PENNY R BENNETT PNP
1500 COOPER ST
FORT WORTH, TX 76104-2710
Phone number: 682-885-4007
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Mailing Address
-- PENNY R BENNETT PNP
PO BOX 99371
FORT WORTH, TX 76199-0371
Phone number: 682-885-1855
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