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Individual

MR. HERBERT LEE PENIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
308 HIGHLAND AVE UNIT C, WASHINGTON COURT HOUSE, OH 43160-1993
(740) 333-4950
Mailing address
308 HIGHLAND AVE UNIT C, WASHINGTON COURT HOUSE, OH 43160-1993
(740) 333-4950

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
022327
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0271826
OH
Enumeration date
03/14/2018
Last updated
10/21/2022
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