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Individual
MARCY IRENE JENKS
Active
Individual
MARCY IRENE JENKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R5145
OR
163WM0705X
Medical-Surgical Registered Nurse
201143228RN
OR
Other
Enumeration date
05/15/2018
Last updated
12/18/2024
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