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1619015518
TARA J JENSEN
LOGAN, UT
NPI
1619015518
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Former Name
TARA J JEPSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 3617282401)
Enumeration Date
2007-02-02
Last Update Date
2008-04-01
Business Address
-- TARA J JENSEN PT
1655 N 200 E SUITE 2
LOGAN, UT 84341-1945
Phone number: 435-753-1844
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Mailing Address
-- TARA J JENSEN PT
2380 N 400 E
LOGAN, UT 84341-1749
Phone number: 435-713-9710
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