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1386064848
KEVIN PENNELL
PORTLAND, ME
NPI
1386064848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: ME MT4495)
Enumeration Date
2014-04-23
Last Update Date
2014-04-23
Business Address
KEVIN PENNELL L.M.T.
55 WARREN AVE
PORTLAND, ME 04103-1103
Phone number: 207-577-1010
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Mailing Address
KEVIN PENNELL L.M.T.
95 BOOTHBY AVE
SOUTH PORTLAND, ME 04106-4628
Phone number: 207-577-1010
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