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1851590269
WARREN LARRY PENROD
SOUTH BEND, IN
NPI
1851590269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 28135343A)
Enumeration Date
2007-07-16
Last Update Date
2013-06-03
Business Address
MR. WARREN LARRY PENROD FNP, BC
333 W. WESTERN AVE
SOUTH BEND, IN 46601
Phone number: 574-299-4847
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Mailing Address
MR. WARREN LARRY PENROD FNP, BC
333 W. WESTERN AVE
SOUTH BEND, IN 46601
Phone number: 574-299-4847
Copy
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