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1184133647
ERICA LYNN PENNELL
ROCKFORD, IL
NPI
1184133647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146013827)
Enumeration Date
2017-09-27
Last Update Date
2017-09-27
Business Address
ERICA LYNN PENNELL
3303 20TH ST
ROCKFORD, IL 61109-2312
Phone number: 815-229-2155
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Mailing Address
ERICA LYNN PENNELL
17025 EAGLES NEST CIR
STRONGSVILLE, OH 44136-6218
Phone number: 440-821-1630
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