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Individual
JOHN JENKINS
Active
Individual
JOHN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-3196
MT
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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