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1780717355
JACKIE JOE JENKINS
VISALIA, CA
NPI
1780717355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- JACKIE JOE JENKINS
317 W TULARE AVE
VISALIA, CA 93277-4815
Phone number: 559-735-0927
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Mailing Address
-- JACKIE JOE JENKINS
2318 N CAIN CT
VISALIA, CA 93292-2379
Phone number: 559-739-8717
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