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1992228985
CORA JEAN JENKINS
SHREVEPORT, LA
NPI
1992228985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-20
Last Update Date
2017-07-20
Business Address
CORA JEAN JENKINS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
CORA JEAN JENKINS
2716 MIMOSA AVE
SHREVEPORT, LA 71108-4340
Phone number: 318-572-6020
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