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Individual

MARY TERESA JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1301 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9774
(270) 417-7940
Mailing address
112 W 20TH ST, OWENSBORO, KY 42303-3704
(270) 925-8729

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT379
KY

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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