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1881106110
PENNY STANLEY
BRISTOL, TN
NPI
1881106110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0001257066)
Enumeration Date
2017-10-26
Last Update Date
2017-10-26
Business Address
PENNY STANLEY
1 MEDICAL PARK BLVD
BRISTOL, TN 37620-7430
Phone number: 423-282-1480
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Mailing Address
PENNY STANLEY
PO BOX 4018
JOHNSON CITY, TN 37602-4018
Phone number: 423-282-1480
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