WADE JENSEN

MIDVALE, UT
NPI1366871451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: UT  5345439-3102)
Enumeration Date2013-11-08
Last Update Date2013-11-08
Business Address
-- WADE JENSEN
7495 S STATE ST
MIDVALE, UT 84047-2013
Phone number: 801-213-9400
Mailing Address
-- WADE JENSEN
7495 S STATE ST
MIDVALE, UT 84047-2013
Phone number:
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