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1164618179
KENNETH A JENKINS
MCCOMB, MS
NPI
1164618179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS pta3514)
Enumeration Date
2007-09-24
Last Update Date
2007-09-24
Business Address
-- KENNETH A JENKINS pta
1310 ASTON AVE
MCCOMB, MS 39648-2826
Phone number: 601-250-5517
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Mailing Address
-- KENNETH A JENKINS pta
1310 ASTON AVE
MCCOMB, MS 39648-2826
Phone number: 601-250-5517
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