RANDALL JENKINS

CHEYENNE, WY
NPI1144560848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WY  0759)
Enumeration Date2013-02-18
Last Update Date2013-02-18
Business Address
RANDALL JENKINS PTA
1982 CHUGWATER DR
CHEYENNE, WY 82009-9354
Phone number: 307-286-1957
Mailing Address
RANDALL JENKINS PTA
1982 CHUGWATER DR
CHEYENNE, WY 82009-9354
Phone number: 307-286-1957
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