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Individual

BARBARA J JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
526 SHOUP AVE W STE B, TWIN FALLS, ID 83301-5050
(208) 734-3356
(208) 733-9463
Mailing address
PO BOX 1657, TWIN FALLS, ID 83303-1657
(208) 734-3356
(208) 733-9463

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M6246
ID
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
M6246
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002536800
ID
Enumeration date
01/18/2007
Last updated
12/21/2011
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