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Individual

MR. GREGORY A JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, ATC, EMT-B

Contact information

Practice address
141 MOBY ARENA, COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80523-1887
(970) 290-1717
Mailing address
1655 TABEGUACHE MOUNTAIN DR, LOVELAND, CO 80538-7238
(970) 290-1717

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/06/2006
Last updated
07/01/2016
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