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Individual
SHAWN DAVID JENSEN
Active
Individual
SHAWN DAVID JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 03784
TX
363A00000X
Physician Assistant
Primary
PA03784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1060052
NCCPA CERT. #
—
Enumeration date
03/08/2007
Last updated
03/02/2021
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