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1649987371
ANTHONY PENISTON
KELLER, TX
NPI
1649987371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
ANTHONY PENISTON
773 BANDIT TRL
KELLER, TX 76248-0111
Phone number: 817-442-9022
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Mailing Address
ANTHONY PENISTON
4917 PARK OAK CT
FORT WORTH, TX 76137-4186
Phone number: 817-470-2018
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