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Organization
LAURIE JENKINS
Active
Organization
LAURIE JENKINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE ANN JENKINS (REGISTERED NURSE)
(920) 568-3855
Entity
Organization
Contact information
Practice address
123 LUCILE ST, FORT ATKINSON, WI 53538-1567
(920) 568-3855
Mailing address
123 LUCILE ST., FORT ATKINSON, UNITED STATES 53538
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
13443030
WI
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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