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1770684540
MICHAEL G JENSON
TULSA, OK
NPI
1770684540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 538)
Enumeration Date
2006-09-26
Last Update Date
2008-05-12
Business Address
-- MICHAEL G JENSON PAC CPP
6585 SOUTH YALE SUITE 1110
TULSA, OK 74136
Phone number: 918-502-7246
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Mailing Address
-- MICHAEL G JENSON PAC CPP
4807 E 91ST ST LB003
TULSA, OK 74137-2841
Phone number: 918-502-7246
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