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1073540530
JEFFREY P JENSEN
MILWAUKEE, WI
NPI
1073540530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WI 9886)
Additional Taxonomies
183500000X Pharmacist
(Licence: CO 12348)
Enumeration Date
2006-06-28
Last Update Date
2010-11-18
Business Address
Mr. JEFFREY P JENSEN R.Ph.
10201 W INNOVATION DR SUITE 600
MILWAUKEE, WI 53226-4822
Phone number: 414-410-8110
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Mailing Address
Mr. JEFFREY P JENSEN R.Ph.
W336N6437 LAKEVIEW LN
OCONOMOWOC, WI 53066-1926
Phone number: 630-373-9371
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