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1063592566
SHANE ALLEN JENSEN
KEARNEY, NE
NPI
1063592566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 6114)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. SHANE ALLEN JENSEN DDS
4114 4TH AVE
KEARNEY, NE 68845-2880
Phone number: 308-237-5166
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Mailing Address
Mr. SHANE ALLEN JENSEN DDS
4114 4TH AVE
KEARNEY, NE 68848-3048
Phone number: 308-237-5166
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