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1851383269
LARRY DEAN JENSEN
TIGARD, OR
NPI
1851383269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: OR DP00199)
Enumeration Date
2005-08-22
Last Update Date
2012-05-04
Business Address
-- LARRY DEAN JENSEN DPM
11815 SW KING JAMES PLACE SUITE 60
TIGARD, OR 97224
Phone number: 503-639-8107
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Mailing Address
-- LARRY DEAN JENSEN DPM
11815 SW KING JAMES PLACE SUITE 60
TIGARD, OR 97224
Phone number: 503-639-8107
Copy
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