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1669625273
JORDAN JENKINS
SOUTH DAYTONA, FL
NPI
1669625273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2033132)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
JORDAN JENKINS
917 BEVILLE RD SUITE G
SOUTH DAYTONA, FL 32119-1712
Phone number: 386-756-4395
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Mailing Address
JORDAN JENKINS
2801 RICHMOND RD #315
TEXARKANA, TX 75503-2123
Phone number: 903-278-7867
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