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1891784724
PAIGE KOENIG PENNEBACKER
BRADENTON, FL
NPI
1891784724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: FL ME62365)
Enumeration Date
2005-10-13
Last Update Date
2018-10-03
Business Address
PAIGE KOENIG PENNEBACKER M.D.
315 75TH ST W
BRADENTON, FL 34209-3201
Phone number: 941-761-0500
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Mailing Address
PAIGE KOENIG PENNEBACKER M.D.
PO BOX 14731
BRADENTON, FL 34280-4731
Phone number: 941-761-0500
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