BLAKE B JENSEN

TWIN FALLS, ID
NPI1316060890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ID  O-0439)
Enumeration Date2007-04-09
Last Update Date2007-08-14
Business Address
BLAKE B JENSEN D.O.
1646 ELDRIDGE AVE
TWIN FALLS, ID 83301-7817
Phone number: 208-734-7362
Mailing Address
BLAKE B JENSEN D.O.
1646 ELDRIDGE AVE
TWIN FALLS, ID 83301-7817
Phone number: 208-734-7362
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