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1538728423
JAKE C JENSEN
BRUNSWICK, GA
NPI
1538728423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT014005)
Enumeration Date
2019-06-13
Last Update Date
2021-04-15
Business Address
JAKE C JENSEN PT, DPT
4204 CORAL PARK DR
BRUNSWICK, GA 31520-3016
Phone number: 912-280-9205
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Mailing Address
JAKE C JENSEN PT, DPT
3100 OLYMPUS BLVD STE 500
COPPELL, TX 75019-5473
Phone number: 866-221-5405
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