Individual
JACOB JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 MAPLE ST S, TURTLE LAKE, WI 54889
(715) 986-2225
(715) 986-4079
Mailing address
119 ANETA AVE, ALMENA, WI 54805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16700-40
WI
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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