Individual
NATHANIEL JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7190 N ACADEMY BLVD, COLORADO SPRINGS, CO 80920-3185
(801) 850-1896
Mailing address
6511 TRENTON ST, COLORADO SPRINGS, CO 80923-5474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003794
CO
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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