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Individual
MARTHA LEE JENKINS
Active
Individual
MARTHA LEE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA .A10217.RX
LA
Other
Enumeration date
02/12/2008
Last updated
02/20/2012
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