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Individual

AUSTIN DALE JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
16006 ASH WAY STE 101, LYNNWOOD, WA 98087-6352
(425) 787-5200
Mailing address
1795 NE 205TH ST APT 510, SHORELINE, WA 98155-1017
(605) 203-1129

Taxonomy

Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
OD-61171154
WA

Other

Enumeration date
08/30/2021
Last updated
08/30/2021
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