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Individual

EMILY KATHERINE JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0499
Mailing address
4001 ROSS AVE APT 265, DALLAS, TX 75204-5268
(512) 923-8654

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17661
TX

Other

Enumeration date
09/08/2023
Last updated
02/25/2024
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