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1255411211
NATHANIEL PAUL JENSEN
COLUMBIA, SC
NPI
1255411211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: SC 1427)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. NATHANIEL PAUL JENSEN O.D.
280 HARBISON BLVD STE T
COLUMBIA, SC 29212-2247
Phone number: 803-732-9200
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Mailing Address
Dr. NATHANIEL PAUL JENSEN O.D.
34 WOODCROSS DR APT 924
COLUMBIA, SC 29212-2364
Phone number: 920-740-6207
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