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1770783060
LARRY JENSEN
YAKIMA, WA
NPI
1770783060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2007-07-24
Last Update Date
2007-07-24
Business Address
-- LARRY JENSEN
313 S 9TH AVE
YAKIMA, WA 98902-3516
Phone number: 509-248-8040
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Mailing Address
-- LARRY JENSEN
313 S 9TH AVE
YAKIMA, WA 98902-3516
Phone number: 509-248-8040
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