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1053613026
PHILIP PENNINGTON
GOLDSBORO, NC
NPI
1053613026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-11-24
Last Update Date
2010-11-24
Business Address
-- PHILIP PENNINGTON
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534-2240
Phone number: 919-734-6676
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Mailing Address
-- PHILIP PENNINGTON
1706 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534-2240
Phone number: 919-734-6676
Copy
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