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1336610278
NICOLE AMBER PENNINGTON
FORT WORTH, TX
NPI
1336610278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 114545)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
NICOLE AMBER PENNINGTON
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
NICOLE AMBER PENNINGTON
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4300
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