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1730791435
DEREK MICHAEL JENSEN
OCEANSIDE, CA
NPI
1730791435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
Mr. DEREK MICHAEL JENSEN IDC
1ST MEDICAL BATTALION 22 AREA BLDG. 22190
OCEANSIDE, CA 92058
Phone number: 208-625-7120
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Mailing Address
Mr. DEREK MICHAEL JENSEN IDC
1ST MEDICAL BATTALION 22 AREA BLDG. 22190
CAMP PENDLETON, CA 92058
Phone number: 208-625-7120
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