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Individual
JOHN JENSEN
Active
Individual
JOHN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
02007316A
IN
2085R0204X
Vascular & Interventional Radiology Physician
02007316A
IN
208D00000X
General Practice Physician
Primary
02007316A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/21/2021
Last updated
06/29/2026
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