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1831486836
ALEXIS PENNACCHIO BENAVENTE
CHAMPAIGN, IL
NPI
1831486836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2011-06-29
Last Update Date
2011-06-29
Business Address
-- ALEXIS PENNACCHIO BENAVENTE B.S.
614 W HEALEY ST
CHAMPAIGN, IL 61820-5025
Phone number: 217-398-1658
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Mailing Address
-- ALEXIS PENNACCHIO BENAVENTE B.S.
614 W HEALEY ST
CHAMPAIGN, IL 61820-5025
Phone number: 217-398-1658
Copy
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