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1508311903
MICHAEL PENNINGTON
TEXARKANA, AR
NPI
1508311903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-16
Last Update Date
2016-08-16
Business Address
-- MICHAEL PENNINGTON
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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Mailing Address
-- MICHAEL PENNINGTON
2904 ARKANSAS BLVD
TEXARKANA, AR 71854-2536
Phone number: 870-773-4655
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