Individual
BENJAMIN BENONI JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
944 S HIGHWAY 89, LOGAN, UT 84321-5436
(435) 755-3432
Mailing address
364 W 200 N APT 4, LOGAN, UT 84321-3841
(435) 770-4043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7224219-1202
UT
Other
Enumeration date
02/04/2009
Last updated
03/09/2009
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