Individual
CORRINE ELLEN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4260 S 76TH ST, GREENFIELD, WI 53220-2854
(414) 321-7603
Mailing address
7149 W JORDAN CT, FRANKLIN, WI 53132-8500
(414) 529-2054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10309
WI
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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