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Individual

MR. JEFFREY P JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
10201 W INNOVATION DR, SUITE 600, MILWAUKEE, WI 53226-4822
(414) 410-8110
Mailing address
W336N6437 LAKEVIEW LN, OCONOMOWOC, WI 53066-1926
(630) 373-9371

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
12348
CO
183500000X
Pharmacist
Primary
9886
WI

Other

Enumeration date
06/28/2006
Last updated
11/18/2010
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