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1528496411
TRAVIS S JENSEN DPM PC
SURPRISE, AZ
NPI
1528496411
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Entity Type
Organization
Authorized Contact
TRAVIS S JENSEN
Provider
623-583-2073
Organization Subpart ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
Enumeration Date
2013-10-31
Last Update Date
2013-10-31
Business Address
TRAVIS S JENSEN DPM PC
12361 W BOLA DR
SURPRISE, AZ 85378-9021
Phone number: 623-584-5626
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Mailing Address
TRAVIS S JENSEN DPM PC
PO BOX 1149
PEORIA, AZ 85380-1149
Phone number: 623-583-2073
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