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1013484260
SHANELLE JENKINS
DAYTONA BEACH, FL
NPI
1013484260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618002671)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
SHANELLE JENKINS OD
551 NATIONAL HEALTH CARE DR
DAYTONA BEACH, FL 32114-1495
Phone number: 386-323-7500
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Mailing Address
SHANELLE JENKINS OD
8400 COUNTRY OAKS RD
CHARLOTTE, NC 28227-5937
Phone number:
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