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Individual

ROBERT A JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
6001 TELEGRAPH AVE, OAKLAND, CA 94609-1310
(510) 658-2062
(510) 658-7779
Mailing address
6001 TELEGRAPH AVE, OAKLAND, CA 94609-1310
(510) 658-2062
(510) 658-7779

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO 955
224P00000X
Prosthetist
Primary
CPO 955

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CPO 955
ABC
Enumeration date
02/09/2008
Last updated
02/24/2008
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