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Individual

MRS. MELISSA LOUISE JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1832 HARPER RD, BECKLEY, WV 25801
(681) 207-7130
(681) 207-7132
Mailing address
1832 HARPER RD, BECKLEY, WV 25801-3366
(681) 207-7130
(681) 207-7132

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2316
WV
363A00000X
Physician Assistant
511
WV

Other

Enumeration date
09/29/2010
Last updated
05/04/2022
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