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Individual

NICK JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, CSCS

Contact information

Practice address
3805 N 53RD AVE, PHOENIX, AZ 85031-3046
(414) 202-6790
Mailing address
6238 N 30TH PL, PHOENIX, AZ 85016-2235
(908) 246-1022

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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