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1376814129
RICHARD JOSEPH PENKSA
ESCONDIDO, CA
NPI
1376814129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-24
Last Update Date
2012-04-03
Business Address
-- RICHARD JOSEPH PENKSA
474 W VERMONT AVE #104
ESCONDIDO, CA 92025-6584
Phone number: 760-432-9884
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Mailing Address
-- RICHARD JOSEPH PENKSA
474 W VERMONT AVE #104
ESCONDIDO, CA 92025-6584
Phone number: 760-432-9884
Copy
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