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Individual

DR. BRIAN PETER JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
65 N TAYLOR ST, FALLON, NV 89406
(775) 423-8024
(775) 423-8593
Mailing address
65 N TAYLOR ST, FALLON, NV 89406
(775) 423-8024
(775) 423-8593

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
581
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100512718
NV
Enumeration date
07/16/2007
Last updated
06/10/2008
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