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Individual

DELILAH PENNINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
101 12TH ST, CROCKER, MO 65452-9203
(573) 736-2217
(573) 736-5370
Mailing address
101 12TH ST, CROCKER, MO 65452-9203
(573) 736-2217
(573) 736-5370

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
060745
MO

Other

Enumeration date
05/20/2009
Last updated
05/20/2009
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