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1720644370
PENNY LAINE JENKINS
GLENDALE, CA
NPI
1720644370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CA 2953)
Enumeration Date
2019-05-18
Last Update Date
2019-05-18
Business Address
Ms. PENNY LAINE JENKINS COTA/L
1708 E CHEVY CHASE DR APT 5
GLENDALE, CA 91206-2802
Phone number: 818-422-8019
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Mailing Address
Ms. PENNY LAINE JENKINS COTA/L
1708 E CHEVY CHASE DR APT 5
GLENDALE, CA 91206-2802
Phone number: 818-422-8019
Copy
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