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1295270411
KELLY JENKINS
SOUTH BEND, IN
NPI
1295270411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32003106A)
Enumeration Date
2016-12-23
Last Update Date
2016-12-23
Business Address
-- KELLY JENKINS
1231 WOODFIELD AVE
SOUTH BEND, IN 46615-3803
Phone number: 574-222-8786
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Mailing Address
-- KELLY JENKINS
1231 WOODFIELD AVE
SOUTH BEND, IN 46615-3803
Phone number: 574-222-8786
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