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Individual

LAURIE JENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
319 MERTON AVE, HARTLAND, WI 53029-1814
(262) 490-7857
Mailing address
319 MERTON AVE, HARTLAND, WI 53029-1814
(262) 490-7857

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112789-30
WI

Other

Enumeration date
12/01/2021
Last updated
12/01/2021
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