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1083348080
JENNA LEE BIVENS
WINSTON SALEM, NC
NPI
1083348080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-13911)
Enumeration Date
2022-07-14
Last Update Date
2024-04-26
Business Address
JENNA LEE BIVENS PA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-4636
Phone number: 919-656-1505
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Mailing Address
JENNA LEE BIVENS PA
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-9252
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