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Individual

GAY M. JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
3430 PACIFIC AVE SE STE A6 PMB 170, OLYMPIA, WA 98501-2177
(360) 791-9969
Mailing address
3430 PACIFIC AVE SE STE A6 PMB 170, OLYMPIA, WA 98501-2177
(360) 791-9969

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH20000537
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1738790
UNITED CONCORDIA
WA
05
5900287
WA
Enumeration date
02/07/2007
Last updated
07/09/2007
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