BRUCE T JENSEN

KINGSTON, WA
NPI1437108834
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: WA  602049582)
Enumeration Date2006-05-10
Last Update Date2011-12-02
Business Address
-- BRUCE T JENSEN
26129 CALVARY LN NE SUITE 200
KINGSTON, WA 98346-7404
Phone number: 360-437-0331
Mailing Address
-- BRUCE T JENSEN
PO BOX 134
PORT GAMBLE, WA 98364-0134
Phone number: 360-437-0331
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