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1790164366
COREY JENKINS
BATON ROUGE, LA
NPI
1790164366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-05-28
Last Update Date
2020-12-14
Business Address
COREY JENKINS M.,S
555 SAINT TAMMANY ST STE D
BATON ROUGE, LA 70806-6064
Phone number: 225-929-9738
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Mailing Address
COREY JENKINS M.,S
415 COURT ST
PORT ALLEN, LA 70767-2747
Phone number: 225-245-9070
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