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1164410924
DANIEL E JENS
BETTENDORF, IA
NPI
1164410924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 03213)
Enumeration Date
2005-10-06
Last Update Date
2009-06-22
Business Address
-- DANIEL E JENS LISW
2485 TECH DR
BETTENDORF, IA 52722-3262
Phone number: 563-355-1611
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Mailing Address
-- DANIEL E JENS LISW
2485 TECH DR
BETTENDORF, IA 52722-3262
Phone number: 563-355-1611
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