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1952176653
DEREK PENNYBAKER
COSHOCTON, OH
NPI
1952176653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
DEREK PENNYBAKER
590 CALDERSBURGH ST
COSHOCTON, OH 43812-1000
Phone number: 740-502-2907
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Mailing Address
DEREK PENNYBAKER
104 1/2 WALNUT ST
COSHOCTON, OH 43812
Phone number: 740-552-1400
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