TODD MICHAEL JENKINS

FORT WAYNE, IN
NPI1194048181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  3600415A)
Enumeration Date2010-03-05
Last Update Date2010-03-05
Business Address
Mr. TODD MICHAEL JENKINS LAT, ATC
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-6326
Mailing Address
Mr. TODD MICHAEL JENKINS LAT, ATC
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-6326
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