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1528398401
TEISHA PENNYWELL-KING
PORT HURON, MI
NPI
1528398401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2009-12-28
Last Update Date
2009-12-28
Business Address
-- TEISHA PENNYWELL-KING
1001 MILITARY ST
PORT HURON, MI 48060-5416
Phone number: 810-985-5437
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Mailing Address
-- TEISHA PENNYWELL-KING
2610 WALNUT ST
PORT HURON, MI 48060-2851
Phone number: 810-956-2047
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