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Individual

JUSTINE JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
344 E 100 S STE 301, SALT LAKE CITY, UT 84111-1727
(801) 322-4257
Mailing address
4717 S 3040 W, TAYLORSVILLE, UT 84129-2507

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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