Individual
MS. DEBORAH P JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
157 BARTRAM RD, RIVERSIDE, IL 60546-1814
(708) 442-5884
Mailing address
157 BARTRAM RD, RIVERSIDE, IL 60546-1814
(708) 442-5884
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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