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Individual

JACQUELINE PENNYWITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
55 CLAIREDAN DR, POWELL, OH 43065-8064
(614) 888-8989
(614) 888-8968
Mailing address
655 AFRICA RD, WESTERVILLE, OH 43082-9808
(614) 326-2672

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.130710
OH

Other

Enumeration date
03/27/2015
Last updated
04/10/2018
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