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1699892042
PHLLIP M. JENSEN
SPRINGFIELD, IL
NPI
1699892042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL 019-020843)
Enumeration Date
2007-03-22
Last Update Date
2012-03-21
Business Address
Dr. PHLLIP M. JENSEN D.M.D.
2606 MARKETPLACE DR
SPRINGFIELD, IL 62702-1467
Phone number: 217-753-8690
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Mailing Address
Dr. PHLLIP M. JENSEN D.M.D.
2606 MARKETPLACE DR
SPRINGFIELD, IL 62702-1467
Phone number: 217-753-8690
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