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1992086912
CODY ALAN PENSKE
HOLLAND, OH
NPI
1992086912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 138468)
Enumeration Date
2011-09-03
Last Update Date
2011-09-03
Business Address
Mr. CODY ALAN PENSKE LPN
729 HAREFOOTE ST
HOLLAND, OH 43528-8566
Phone number: 419-410-5320
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Mailing Address
Mr. CODY ALAN PENSKE LPN
729 HAREFOOTE ST
HOLLAND, OH 43528-8566
Phone number: 419-410-5320
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