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1093217218
RANDON CARL JENKINS
WARREN, MI
NPI
1093217218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704273274)
Enumeration Date
2018-03-03
Last Update Date
2018-03-03
Business Address
RANDON CARL JENKINS
4669 E 8 MILE RD
WARREN, MI 48091-2709
Phone number: 313-416-6262
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Mailing Address
RANDON CARL JENKINS
6547 WINDMILL LN
WEST BLOOMFIELD, MI 48324-3759
Phone number: 313-516-7690
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