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1093805467
WILLIAM J JENSEN
MERIDIAN, ID
NPI
1093805467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ID PA-618)
Enumeration Date
2006-10-13
Last Update Date
2021-07-22
Business Address
WILLIAM J JENSEN PA-C
875 S VANGUARD WAY
MERIDIAN, ID 83642-7552
Phone number: 208-463-3000
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Mailing Address
WILLIAM J JENSEN PA-C
215 E HAWAII AVE
NAMPA, ID 83686-6099
Phone number: 208-463-3000
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