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1922591833
FERNANDIS WAYNE JENKINS
DAYTON, OH
NPI
1922591833
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
FERNANDIS WAYNE JENKINS
601 XENIA AVE
DAYTON, OH 45410-1825
Phone number: 937-496-2032
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Mailing Address
FERNANDIS WAYNE JENKINS
601 XENIA AVE
DAYTON, OH 45410-1825
Phone number: 937-496-2032
Copy
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