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1124096425
DOUGLAS E. JENSEN
CHICAGO, IL
NPI
1124096425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019017135)
Enumeration Date
2006-03-10
Last Update Date
2014-12-16
Business Address
Dr. DOUGLAS E. JENSEN DDS
5540 S PULASKI RD
CHICAGO, IL 60629-4418
Phone number: 773-735-4434
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Mailing Address
Dr. DOUGLAS E. JENSEN DDS
823 LINCOLN LN
LA GRANGE HIGHLANDS, IL 60525-7401
Phone number: 708-354-2024
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