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1396991162
JASON JOSEPH JORGENSEN
LEWISVILLE, TX
NPI
1396991162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX N9717)
Enumeration Date
2008-08-13
Last Update Date
2021-02-22
Business Address
Mr. JASON JOSEPH JORGENSEN D.O.
500 W MAIN ST
LEWISVILLE, TX 75057-3641
Phone number: 214-970-6817
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Mailing Address
Mr. JASON JOSEPH JORGENSEN D.O.
2637 N WASHINGTON BLVD # 164
NORTH OGDEN, UT 84414-2240
Phone number: 214-970-6817
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