JUSTIN DEAN JENSEN

BRIGHAM CITY, UT
NPI1407158835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children
Enumeration Date2010-11-17
Last Update Date2011-02-16
Business Address
Mr. JUSTIN DEAN JENSEN
82 S 800 W
BRIGHAM CITY, UT 84302-2400
Phone number: 435-538-5061
Mailing Address
Mr. JUSTIN DEAN JENSEN
PO BOX 526
BRIGHAM CITY, UT 84302-0526
Phone number: 435-538-5061
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