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Individual

DEVIN SHAWN JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
12707 120TH AVE NE, #203, KIRKLAND, WA 98034-7500
(425) 820-1221
(425) 821-9362
Mailing address
12707 120TH AVE NE, #203, KIRKLAND, WA 98034-7500
(425) 820-1221
(425) 821-9362

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TA60113736
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7126667
WA
Enumeration date
12/22/2009
Last updated
12/22/2009
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