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Individual

DAVID L JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 685-3375
Mailing address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 685-3375

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA864
WY

Other

Enumeration date
01/10/2007
Last updated
12/20/2021
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