KENYATTA AMEER JENKINS

BLOOMINGTON, IL
NPI1104246719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096003570)
Enumeration Date2014-04-22
Last Update Date2014-04-22
Business Address
Mr. KENYATTA AMEER JENKINS ATC
808 S ELDORADO RD STE 2W
BLOOMINGTON, IL 61704-6034
Phone number: 309-661-0232
Mailing Address
Mr. KENYATTA AMEER JENKINS ATC
59 FEDOR CIR
BLOOMINGTON, IL 61705-5108
Phone number: 309-287-1459
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