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Individual

MISS KIMBERLY ANNE JENCKES

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1137 N EOLA RD, SUITE 106, AURORA, IL 60502-7096
(630) 236-6698
(630) 236-6856
Mailing address
132 GREGORY ST, UNIT E, AURORA, IL 60504-2077
(708) 638-2675

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
IL

Other

Enumeration date
12/02/2005
Last updated
07/08/2007
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