CALEB PENNOCK

CARTERVILLE, IL
NPI1720535032
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043.122929)
Enumeration Date2016-09-02
Last Update Date2016-09-02
Business Address
-- CALEB PENNOCK
4474 OLD ROUTE 13
CARTERVILLE, IL 62918-3300
Phone number: 618-889-7076
Mailing Address
-- CALEB PENNOCK
4474 OLD ROUTE 13
CARTERVILLE, IL 62918-3300
Phone number:
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