RANDAL S PENNINGTON

PROVO, UT
NPI1801903786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: UT  49478942501)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
RANDAL S PENNINGTON PSYD
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
RANDAL S PENNINGTON PSYD
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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