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1396016135
MICHELLE JENSEN
RANCHO CUCAMONGA, CA
NPI
1396016135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225200000X Physical Therapy Assistant
Enumeration Date
2012-01-25
Last Update Date
2019-09-16
Business Address
MICHELLE JENSEN PTA
8655 HAVEN AVE STE 200
RANCHO CUCAMONGA, CA 91730-4891
Phone number: 800-642-5031
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Mailing Address
MICHELLE JENSEN PTA
3436 COASTAL OAK DR
SIMI VALLEY, CA 93065-7239
Phone number:
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