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Organization
KIM & OLE JENSEN DC
Active
Organization
KIM & OLE JENSEN DC
Active
Other names
SHASTA SPINE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENS OLE S JENSEN DC (CO-OWNER)
(530) 241-2798
Entity
Organization
Contact information
Practice address
1115 EUREKA WAY, REDDING, CA 96001-0816
(530) 241-2798
(530) 241-3066
Mailing address
1115 EUREKA WAY, REDDING, CA 96001-0816
(530) 241-2798
(530) 241-3066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC19769
CA
111N00000X
Chiropractor
Primary
DC19853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ55850Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
09/17/2007
Last updated
06/20/2008
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