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1841351228
CRAIG S PENNELL
INDEPENDENCE, KY
NPI
1841351228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: KY 1168DT)
Enumeration Date
2006-12-12
Last Update Date
2013-10-14
Business Address
CRAIG S PENNELL OD
1824 DECLARATION DR
INDEPENDENCE, KY 41051-8432
Phone number: 859-363-3347
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Mailing Address
CRAIG S PENNELL OD
1824 DECLARATION DR
INDEPENDENCE, KY 41051-8196
Phone number: 859-363-3347
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