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Individual

JESSICA JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DME PROVIDER

Contact information

Practice address
3450 N TRIUMPH BLVD STE 102, LEHI, UT 84043-4991
(888) 550-8559
(888) 550-8559
Mailing address
3450 N TRIUMPH BLVD STE 102, LEHI, UT 84043-4991
(888) 550-8559

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1992079263
NPI
UT
Enumeration date
12/29/2017
Last updated
12/29/2017
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