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1902924707
KENNETH JENKS
KENOSHA, WI
NPI
1902924707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: WI 822-019)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Mr. KENNETH JENKS
6308 8TH AVE
KENOSHA, WI 53143-5031
Phone number: 262-656-9914
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Mailing Address
Mr. KENNETH JENKS
5025 25TH AVE
KENOSHA, WI 53140-5825
Phone number:
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