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1598954893
LEJON J JENKINS
TWENTYNINE PALMS, CA
NPI
1598954893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2007-10-23
Last Update Date
2009-06-17
Business Address
-- LEJON J JENKINS IDC
6555 BULLION AVE UNIT B
TWENTYNINE PALMS, CA 92277-3293
Phone number: 619-517-5945
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Mailing Address
-- LEJON J JENKINS IDC
25878 FRESCA DR UNIT B
MORENO VALLEY, CA 92553-4951
Phone number: 619-517-5945
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