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1902146608
LAURA V PENNONI
ROYAL OAK, MI
NPI
1902146608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704205471)
Enumeration Date
2013-02-18
Last Update Date
2022-11-11
Business Address
LAURA V PENNONI
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-4021
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Mailing Address
LAURA V PENNONI
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1865
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