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Individual

KATHLEEN JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
Mailing address
310 LADERA LN APT 1906, MANGILAO, GU 96913-5877
(671) 483-9743

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RE2391
GU
367500000X
Certified Registered Nurse Anesthetist
0024178412
VA
367500000X
Certified Registered Nurse Anesthetist
17-NP05
GU
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61217258
WA
367500000X
Certified Registered Nurse Anesthetist
NP0177
GU

Other

Enumeration date
10/30/2017
Last updated
10/28/2021
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