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1295723849
LAURIE ANNE JENSEN
KENOSHA, WI
NPI
1295723849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 132-039)
Enumeration Date
2005-10-07
Last Update Date
2007-07-08
Business Address
-- LAURIE ANNE JENSEN ATC
2001 ALFORD PARK DR
KENOSHA, WI 53140-1929
Phone number: 262-551-6104
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Mailing Address
-- LAURIE ANNE JENSEN ATC
4114 SHEARD RD
KANSASVILLE, WI 53139-9401
Phone number: 262-534-9162
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