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1568787380
STEPHEN LEE PENICK
LEBANON, TN
NPI
1568787380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN OT 425)
Enumeration Date
2010-04-05
Last Update Date
2010-04-05
Business Address
-- STEPHEN LEE PENICK OT
1018 W MAIN ST
LEBANON, TN 37087-3302
Phone number: 615-466-5200
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Mailing Address
-- STEPHEN LEE PENICK OT
1018 W MAIN ST
LEBANON, TN 37087-3302
Phone number: 615-466-5200
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