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Individual

JESSICA JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
945 SW MAIN BLVD, LAKE CITY, FL 32025-5746
(386) 755-3164
Mailing address
945 SW MAIN BLVD, LAKE CITY, FL 32025-5746
(386) 755-3164

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA22075
FL

Other

Enumeration date
11/26/2019
Last updated
11/26/2019
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