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1194597773
MICHAEL CRIS PENNINGTON
TULSA, OK
NPI
1194597773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
MICHAEL CRIS PENNINGTON
11604 E 23RD ST
TULSA, OK 74129-5602
Phone number: 918-630-6029
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Mailing Address
MICHAEL CRIS PENNINGTON
11604 E 23RD ST
TULSA, OK 74129-5602
Phone number: 918-630-6029
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