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1134285240
RICKIE W. PENNY
BELLEVILLE, IL
NPI
1134285240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-018911)
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
Dr. RICKIE W. PENNY D.M.D.
2262 COUNTRY RD
BELLEVILLE, IL 62221-2576
Phone number: 618-236-2301
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Mailing Address
Dr. RICKIE W. PENNY D.M.D.
2262 COUNTRY RD
BELLEVILLE, IL 62221-2576
Phone number: 618-236-2301
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