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1255887675
JOSEPH JENSEN
SILVER CITY, NM
NPI
1255887675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NM 16-1943)
Enumeration Date
2016-08-26
Last Update Date
2016-08-26
Business Address
Mr. JOSEPH JENSEN
907 N POPE ST
SILVER CITY, NM 88061-5150
Phone number: 575-388-1976
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Mailing Address
Mr. JOSEPH JENSEN
907 N POPE ST
SILVER CITY, NM 88061-5150
Phone number: 575-388-1976
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