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1437754736
MADISON RAE JENSEN
OMAHA, NE
NPI
1437754736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1850)
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
MADISON RAE JENSEN PTA
2824 N 66TH AVE # NE68104
OMAHA, NE 68104-3928
Phone number: 402-551-2110
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Mailing Address
MADISON RAE JENSEN PTA
2501 N 61ST ST
OMAHA, NE 68104-4017
Phone number: 402-686-9689
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