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1902495880
LATRINA JENKINS
AUGUSTA, GA
NPI
1902495880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: GA LCB20190001116)
Enumeration Date
2021-01-14
Last Update Date
2021-01-14
Business Address
LATRINA JENKINS
116 SHARTOM DR
AUGUSTA, GA 30907-4748
Phone number: 706-294-9434
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Mailing Address
LATRINA JENKINS
116 SHARTOM DR
AUGUSTA, GA 30907-4748
Phone number: 706-294-9434
Copy
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