LAURIE ANNE JENSEN

KENOSHA, WI
NPI1295723849
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  132-039)
Enumeration Date2005-10-07
Last Update Date2007-07-08
Business Address
-- LAURIE ANNE JENSEN ATC
2001 ALFORD PARK DR
KENOSHA, WI 53140-1929
Phone number: 262-551-6104
Mailing Address
-- LAURIE ANNE JENSEN ATC
4114 SHEARD RD
KANSASVILLE, WI 53139-9401
Phone number: 262-534-9162