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Individual

JON R PENOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.A.D.C.

Contact information

Practice address
425 NW 7TH ST, OKLAHOMA CITY, OK 73102-2810
(405) 235-9709
Mailing address
704 NEAL CIR, EL RENO, OK 73036-5620
(405) 235-9709

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
217
OK

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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