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1992263792
KYLE JENKINS
SPRINGFIELD, IL
NPI
1992263792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 49514)
Enumeration Date
2019-03-11
Last Update Date
2019-03-11
Business Address
KYLE JENKINS PTA
112 CALVIN AVE
SPRINGFIELD, IL 62704-6112
Phone number: 217-652-2830
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Mailing Address
KYLE JENKINS PTA
112 CALVIN AVE
SPRINGFIELD, IL 62704-6112
Phone number: 217-652-2830
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