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1821370461
ALAN JOEL JENSEN
IDAHO FALLS, ID
NPI
1821370461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: ID PA-925)
Enumeration Date
2011-09-09
Last Update Date
2016-04-25
Business Address
ALAN JOEL JENSEN PA
3360 WASHINGTON PKWY SUITE 2
IDAHO FALLS, ID 83404-8332
Phone number: 208-528-8170
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Mailing Address
ALAN JOEL JENSEN PA
3425 POTOMAC WAY SUITE 2
IDAHO FALLS, ID 83404-4970
Phone number: 208-528-8170
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