Individual
KATELYN JO JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W4108 JENNIE LEE CT, MALONE, WI 53049-1708
(920) 948-1351
Mailing address
854 CHERRY ST, OSHKOSH, WI 54901-4348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236212-30
WI
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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