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1043990229
JEFFREY LYNN KENNINGTON
SHREVEPORT, LA
NPI
1043990229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: TX 790105)
Enumeration Date
2023-07-21
Last Update Date
2023-07-21
Business Address
JEFFREY LYNN KENNINGTON RN
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
JEFFREY LYNN KENNINGTON RN
105 LAMPASAS WAY
WAKE VILLAGE, TX 75501-5791
Phone number: 903-293-1142
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