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1194188409
LATASHA JENKINS
BENTON, AR
NPI
1194188409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AR R097931)
Enumeration Date
2016-04-04
Last Update Date
2018-09-28
Business Address
LATASHA JENKINS RN
1502 MARY KAY BLVD
BENTON, AR 72015-7201
Phone number: 501-315-3344
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Mailing Address
LATASHA JENKINS RN
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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