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1073993275
STEPHEN LANCE PENNINGTON
HUNTINGTON, WV
NPI
1073993275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV PTA 001910)
Enumeration Date
2015-06-02
Last Update Date
2015-06-02
Business Address
-- STEPHEN LANCE PENNINGTON
101 13TH ST
HUNTINGTON, WV 25701-1653
Phone number: 304-525-7622
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Mailing Address
-- STEPHEN LANCE PENNINGTON
PO BOX 1046
BARBOURSVILLE, WV 25504-3046
Phone number: 304-561-4944
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