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1407374697
KATERRIO PENNYWELL
ALEXANDRIA, LA
NPI
1407374697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-09-07
Last Update Date
2018-07-16
Business Address
KATERRIO PENNYWELL
3921 INDEPENDENCE DR STE 104
ALEXANDRIA, LA 71303
Phone number: 318-542-4288
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Mailing Address
KATERRIO PENNYWELL
3921 INDEPENDENCE DR STE 104
ALEXANDRIA, LA 71303-3566
Phone number:
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