Individual
LUKE FRANCIS CORTEZ JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 N 3RD ST, LARAMIE, WY 82072-2514
(307) 742-6641
Mailing address
1103 1/2 E LEWIS ST, LARAMIE, WY 82072-3339
(605) 645-4404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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