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Individual

DEBORA J JENSEN

Active
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Individual

DEBORA J JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00002034
WA
225100000X
Physical Therapist
Primary
PT00010693
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0197166
DEPT. OF LABOR & INDUSTRI
WA
01
0197166
LABOR & INDUSTRIES
05
8426710
WA
Enumeration date
10/02/2006
Last updated
03/30/2011
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