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1144560848
RANDALL JENKINS
CHEYENNE, WY
NPI
1144560848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY 0759)
Enumeration Date
2013-02-18
Last Update Date
2013-02-18
Business Address
-- RANDALL JENKINS PTA
1982 CHUGWATER DR
CHEYENNE, WY 82009-9354
Phone number: 307-286-1957
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Mailing Address
-- RANDALL JENKINS PTA
1982 CHUGWATER DR
CHEYENNE, WY 82009-9354
Phone number: 307-286-1957
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