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1205119062
RUSSELL ALDEN JENKINS
ERIE, PA
NPI
1205119062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY 60178857)
Enumeration Date
2011-09-27
Last Update Date
2011-09-27
Business Address
Dr. RUSSELL ALDEN JENKINS Ph.D.
135 E 38TH ST BEHAVIORAL HEALTH CLINIC (BLDG 5)
ERIE, PA 16504-1559
Phone number: 814-860-2038
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Mailing Address
Dr. RUSSELL ALDEN JENKINS Ph.D.
135 E 38TH ST BEHAVIORAL HEALTH CLINIC (BLDG 5)
ERIE, PA 16504-1559
Phone number: 814-860-2038
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