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Individual

CHRISTINE MARIE JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
13819 HANSON BLVD NW, ANDOVER, MN 55304-7608
(763) 392-4001
(763) 862-2091
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3315-23
WI

Other

Enumeration date
06/16/2014
Last updated
09/22/2023
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