Individual
MRS. MARCIA L. PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
764 W CENTRAL AVE, SPRINGBORO, OH 45066-3020
(937) 743-2099
Mailing address
764 W CENTRAL AVE, SPRINGBORO, OH 45066-3020
(937) 743-2099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33.020528
OH
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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