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Individual

JORDAN JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
917 BEVILLE RD, SUITE G, SOUTH DAYTONA, FL 32119-1712
(386) 756-4395
(866) 426-2811
Mailing address
2801 RICHMOND RD, #315, TEXARKANA, TX 75503-2123
(903) 278-7867
(866) 426-1396

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2033132
TX

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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