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1639570476
JASON JENKINS
MATTOON, IL
NPI
1639570476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209011280)
Enumeration Date
2014-09-11
Last Update Date
2015-08-24
Business Address
JASON JENKINS NP
2512 HURST DR
MATTOON, IL 61938
Phone number: 217-258-5900
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Mailing Address
JASON JENKINS NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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