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1992265698
JESSE D PENNEPACKER
LAS VEGAS, NV
NPI
1992265698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-20
Last Update Date
2019-03-20
Business Address
JESSE D PENNEPACKER
9390 W LA MADRE WAY
LAS VEGAS, NV 89149-2529
Phone number: 760-978-7239
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Mailing Address
JESSE D PENNEPACKER
9390 W LA MADRE WAY
LAS VEGAS, NV 89149-2529
Phone number: 760-978-7239
Copy
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