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1952384125
CLARK ALLEN JENSEN
CASPER, WY
NPI
1952384125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WY 166T)
Enumeration Date
2005-11-22
Last Update Date
2007-09-14
Business Address
DR. CLARK ALLEN JENSEN O.D.
3101 WYOMING BLVD SW
CASPER, WY 82604-4543
Phone number: 307-265-7008
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Mailing Address
DR. CLARK ALLEN JENSEN O.D.
3101 WYOMING BLVD SW
CASPER, WY 82604-4543
Phone number: 307-265-7008
Copy
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