Individual
RANDI JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83236 470TH AVE, BURWELL, NE 68823-6213
(308) 214-1072
Mailing address
83236 470TH AVE, BURWELL, NE 68823-6213
(308) 214-1072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013011569
NE
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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