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1174567242
LESLIE SHANE JENKINS
GRAND RAPIDS, MI
NPI
1174567242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704241233)
Enumeration Date
2006-06-16
Last Update Date
2010-06-24
Business Address
-- LESLIE SHANE JENKINS
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-732-8956
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Mailing Address
-- LESLIE SHANE JENKINS
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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