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Individual

MR. JUSTIN CHARLES JENKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
91-1169 PEKAU ST, EWA BEACH, HI 96706-5606
(808) 391-4028

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61033
HI

Other

Enumeration date
12/03/2009
Last updated
01/11/2010
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