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1710454376
DEBORAH CAROL JENKINS
KINGSPORT, TN
NPI
1710454376
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0017145419)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
DEBORAH CAROL JENKINS Nurse Practitioner
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-224-4000
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Mailing Address
DEBORAH CAROL JENKINS Nurse Practitioner
PO BOX 8004
WISE, VA 24293-8004
Phone number: 276-220-3097
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