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1386081511
SHANETIA JENKINS
LAWTON, OK
NPI
1386081511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171W00000X Contractor
Enumeration Date
2013-05-29
Last Update Date
2019-09-05
Business Address
SHANETIA JENKINS MS
602 SW A AVE
LAWTON, OK 73501-3930
Phone number: 580-678-7452
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Mailing Address
SHANETIA JENKINS MS
322 SW BOATSMAN AVE
LAWTON, OK 73505-9515
Phone number: 580-536-4666
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