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Individual

THOMAS RALPH JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3179 N CANYON RD, PROVO, UT 84604-3916
(801) 377-2002
(801) 377-2007
Mailing address
421 E 2825 N, PROVO, UT 84604-4240
(801) 822-8086

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7725489-1701
UT
183500000X
Pharmacist
RPH-0013823
OR

Other

Enumeration date
10/17/2013
Last updated
11/20/2019
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