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Individual

BOBBI J JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10045
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271982700
MN
05
ENROLLED
MN
01
P00274616
MEDICARE RAILROAD
MN
Enumeration date
01/11/2006
Last updated
09/19/2016
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