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1619739604
CHASE ROGER PENNEWELL
KANSAS CITY, MO
NPI
1619739604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
CHASE ROGER PENNEWELL
2411 HOLMES ST
KANSAS CITY, MO 64108-2741
Phone number: 816-235-5412
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Mailing Address
CHASE ROGER PENNEWELL
2411 HOLMES ST
KANSAS CITY, MO 64108-2741
Phone number: 816-235-5412
Copy
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