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1639288715
CHAD RYAN JENSEN
NORTH OGDEN, UT
NPI
1639288715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 62664731205)
Enumeration Date
2006-08-30
Last Update Date
2008-07-01
Business Address
Dr. CHAD RYAN JENSEN M.D.
2400 N WASHINGTON BLVD
NORTH OGDEN, UT 84414-7233
Phone number: 801-786-7500
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Mailing Address
Dr. CHAD RYAN JENSEN M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-779-6200
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