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1528468550
ALISA JENSEN
WOODBURY, MN
NPI
1528468550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN 2208)
Enumeration Date
2014-08-27
Last Update Date
2015-02-05
Business Address
-- ALISA JENSEN ATC, ATR
2090 WOODWINDS DR STE 150
WOODBURY, MN 55125-2522
Phone number: 651-968-5097
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Mailing Address
-- ALISA JENSEN ATC, ATR
2090 WOODWINDS DR STE 150
WOODBURY, MN 55125-2522
Phone number: 651-968-5097
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