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1598078677
BRANDON LEE JENSON
CORYDON, IA
NPI
1598078677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IA 04742)
Additional Taxonomies
208600000X Surgery
(Licence: MO 2009020184)
Enumeration Date
2010-07-19
Last Update Date
2023-04-11
Business Address
BRANDON LEE JENSON DO
417 S EAST ST
CORYDON, IA 50060-1860
Phone number: 641-872-2260
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Mailing Address
BRANDON LEE JENSON DO
PO BOX 843966
KANSAS CITY, MO 64184-3966
Phone number: 573-884-3300
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