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Individual

MINDY RENEE JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1408 E. FRANKLIN ST., MONROE, NC 28112-5160
(704) 635-2080
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1118

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243814
NC

Other

Enumeration date
04/21/2011
Last updated
04/21/2011
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