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Individual

CHRIS DAKOTA JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2632 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-4756
(307) 212-3284
Mailing address
310 E BROADWAY AVE, JACKSON, WY 83001-8636
(307) 212-3284

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-194863
WY

Other

Enumeration date
12/01/2021
Last updated
12/01/2021
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