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1821028770
DARRELL L JENKINS
IDAHO FALLS, ID
NPI
1821028770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: ID N-15831)
Enumeration Date
2006-07-04
Last Update Date
2007-07-08
Business Address
-- DARRELL L JENKINS CRNA
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
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Mailing Address
-- DARRELL L JENKINS CRNA
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 517-787-6440
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