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Individual
TARA JENKINS
Active
Individual
TARA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
116082
KS
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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