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1174646749
NATHAN DANIEL JENSEN
REXBURG, ID
NPI
1174646749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mr. NATHAN DANIEL JENSEN MSW
218 DIVIDEND DR STE 3
REXBURG, ID 83440-3510
Phone number: 208-359-9683
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Mailing Address
Mr. NATHAN DANIEL JENSEN MSW
545 SUNSET ST
SAINT ANTHONY, ID 83445-1124
Phone number: 208-220-0915
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