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1770552846
JOHANNA M JENSEN
NAMPA, ID
NPI
1770552846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ID M9011)
Enumeration Date
2006-03-14
Last Update Date
2012-05-01
Business Address
-- JOHANNA M JENSEN M.D.
1615 12TH AVE RD STE A
NAMPA, ID 83686-7713
Phone number: 208-467-4406
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Mailing Address
-- JOHANNA M JENSEN M.D.
1615 12TH AVE RD STE A
NAMPA, ID 83686-7713
Phone number: 208-467-4406
Copy
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