ABBY LUCILE JENSEN

IDAHO FALLS, ID
NPI1093203119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ID  PTA-5319)
Enumeration Date2018-04-24
Last Update Date2018-04-24
Business Address
ABBY LUCILE JENSEN
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
Mailing Address
ABBY LUCILE JENSEN
535 MARIAH AVE. APARTMENT 1104
REXBURG, ID 83440
Phone number: 208-351-9201
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