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1366901605
CLAYTON JENSEN
IDAHO FALLS, ID
NPI
1366901605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: ID P8208)
Enumeration Date
2019-03-17
Last Update Date
2019-03-17
Business Address
CLAYTON JENSEN
1604 W BROADWAY ST
IDAHO FALLS, ID 83402-3048
Phone number: 208-522-4655
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Mailing Address
CLAYTON JENSEN
1604 W BROADWAY ST
IDAHO FALLS, ID 83402-3048
Phone number: 208-522-4655
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