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1043062896
RANDY LAMAR JENSEN
LOGAN, UT
NPI
1043062896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
RANDY LAMAR JENSEN
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
RANDY LAMAR JENSEN
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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