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1285990341
KACY R JENKINS
DURHAM, NC
NPI
1285990341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 219404)
Enumeration Date
2012-04-03
Last Update Date
2012-04-03
Business Address
-- KACY R JENKINS CRNA
3643 N ROXBORO ST
DURHAM, NC 27704-2702
Phone number: 919-470-6185
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Mailing Address
-- KACY R JENKINS CRNA
PO BOX 15609
DURHAM, NC 27704-0609
Phone number: 919-384-0700
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