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1609098631
KENNETH L PENIX
TALLMADGE, OH
NPI
1609098631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- KENNETH L PENIX CRC
392 NORTHWEST AVE
TALLMADGE, OH 44278
Phone number: 330-926-9445
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Mailing Address
-- KENNETH L PENIX CRC
392 NORTHWEST AVE
TALLMADGE, OH 44278
Phone number: 330-926-9445
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