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Individual

DEBRA L JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L. AC.

Contact information

Practice address
7314 W. MADISON, FOREST PARK, IL 60130
(708) 204-9377
Mailing address
815 HANNAH AVENUE, FOREST PARK, IL 60130
(708) 204-9377

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000191
IL

Other

Enumeration date
05/29/2012
Last updated
05/29/2012
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