Individual
JULIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 S STAPLEY DR, MESA, AZ 85204-6615
(480) 892-0805
(480) 892-0856
Mailing address
1955 S STAPLEY DR, MESA, AZ 85204-6615
(480) 892-0805
(480) 890-0856
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO003371
AZ
156FX1800X
Optician
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Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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