WARREN LARRY PENROD

SOUTH BEND, IN
NPI1851590269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28135343A)
Enumeration Date2007-07-16
Last Update Date2013-06-03
Business Address
Mr. WARREN LARRY PENROD FNP, BC
333 W. WESTERN AVE
SOUTH BEND, IN 46601
Phone number: 574-299-4847
Mailing Address
Mr. WARREN LARRY PENROD FNP, BC
333 W. WESTERN AVE
SOUTH BEND, IN 46601
Phone number: 574-299-4847
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