Individual
JOSEPH JENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1316 W HIGHWAY 40, VERNAL, UT 84078-4203
(435) 789-7936
Mailing address
22 E 1150 S, VERNAL, UT 84078-4755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8351283-1701
UT
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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