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Individual

MRS. MARY H JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
2314 33RD ST, LUBBOCK, TX 79411-1630
(806) 722-2314
Mailing address
2314 33RD ST, LUBBOCK, TX 79411-1630
(806) 722-2314

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary

Other

Enumeration date
06/12/2008
Last updated
06/12/2008
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