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1366617953
BRIAN CLARK JENSEN
EAGLE, ID
NPI
1366617953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-3878)
Enumeration Date
2008-04-24
Last Update Date
2008-04-24
Business Address
Dr. BRIAN CLARK JENSEN D.M.D.
1177 N EAGLE RD
EAGLE, ID 83616-5017
Phone number: 208-939-3010
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Mailing Address
Dr. BRIAN CLARK JENSEN D.M.D.
1177 N EAGLE RD
EAGLE, ID 83616-5017
Phone number: 208-939-3010
Copy
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