LISA M JENSON

BLAINE, MN
NPI1104040047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1453)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- LISA M JENSON ATC
12555 UNIVERSITY AVE NW
BLAINE, MN 55434
Phone number: 763-506-6729
Mailing Address
-- LISA M JENSON ATC
16317 WINTERGREEN ST NW
ANDOVER, MN 55304-7734
Phone number: 763-783-0849
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