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Individual
PAIGE JENKINS
Active
Individual
PAIGE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004883
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242004883
—
IL
Enumeration date
09/06/2018
Last updated
08/06/2021
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