Individual
MR. JOHN ALLEN JENSEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
621 G AVE, GRUNDY CENTER, IA 50638-1549
(319) 824-5446
Mailing address
2622 RYAN DR, CEDAR FALLS, IA 50613-6642
(319) 610-3299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15650
IA
Other
Enumeration date
05/16/2007
Last updated
01/12/2012
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