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1952838310
TIMOTHY MARK PENNINGTON
MIDDLETOWN, OH
NPI
1952838310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH 020820)
Enumeration Date
2017-05-16
Last Update Date
2017-05-16
Business Address
TIMOTHY MARK PENNINGTON NP-C
4222 GRAND AVE
MIDDLETOWN, OH 45044-6129
Phone number: 513-420-4678
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Mailing Address
TIMOTHY MARK PENNINGTON NP-C
105 PARKVIEW ST
LEBANON, OH 45036-2242
Phone number: 1513-379-5697
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