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Individual

MRS. GAIL PENNIMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2745 PORTER ST, STE D, SOQUEL, CA 95073-2471
(831) 419-8548
Mailing address
2745 PORTER ST, STE D, SOQUEL, CA 95073-2471
(831) 419-8548

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
11802
CA

Other

Enumeration date
05/02/2017
Last updated
05/02/2017
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