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Individual

DR. SEAN PAUL JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1891 N TREKELL RD, CASA GRANDE, AZ 85222-1704
(520) 836-2969
Mailing address
2820 S ALMA SCHOOL RD, 2A6, CHANDLER, AZ 85248-3192
(520) 836-2969

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7486
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0941841
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/24/2006
Last updated
07/08/2007
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