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1073919106
MICHAEL PENKATY
GRAND JUNCTION, CO
NPI
1073919106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-11-18
Last Update Date
2014-11-18
Business Address
-- MICHAEL PENKATY
2890 DURANGO DR
GRAND JUNCTION, CO 81503-2918
Phone number: 970-314-4039
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Mailing Address
-- MICHAEL PENKATY
2890 DURANGO DR
GRAND JUNCTION, CO 81503-2918
Phone number: 970-314-4039
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