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1922477181
JEREMY MICHAEL JENKINS
WEST COVINA, CA
NPI
1922477181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
JEREMY MICHAEL JENKINS
1517 W GARVEY AVE N
WEST COVINA, CA 91790-2138
Phone number: 626-962-6061
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Mailing Address
JEREMY MICHAEL JENKINS
5011 BARTLETT AVE
SAN GABRIEL, CA 91776-2123
Phone number: 626-646-3567
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