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MAMIE ROCHELL JINKS

>> Driver >> Other Service Providers

Registrant NPI Number: 1487184099

Individual Registrant:
 MAMIE ROCHELL JINKS 
Gender: F
Sole Proprietor

Location and contact information for practice:
1541 LAKELAND CIR  LAKE CITY, GA 30260 US
Tel: (77-0) -820-3015  Fax: 770-629-1392

Contact information for business:
1541 LAKELAND CIR  LAKE CITY, GA 30260-3822 US
Tel: 770-820-3015  Fax: 770-629-1392

Registration Information:
NPI: 1487184099
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172A00000XOther Service Providers
Driver

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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