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Individual

DR. RONALD OWEN JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
78015 MAIN ST, SUITE #107, LA QUINTA, CA 92253-3420
(760) 771-0715
(760) 771-2033
Mailing address
78015 MAIN ST, SUITE #107, LA QUINTA, CA 92253-3420
(760) 771-0715
(760) 771-2033

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4972T
CA

Other

Enumeration date
01/04/2007
Last updated
06/20/2013
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