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1437184371
KALEB K JENSON
TACOMA, WA
NPI
1437184371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WA MD00043369)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
-- KALEB K JENSON
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-627-4930
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Mailing Address
-- KALEB K JENSON
12918 65TH AVENUE CT SW
LAKEWOOD, WA 98499-1001
Phone number:
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