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Individual

THOMAS ROBERT JORGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
200 ROOD AVE, GRAND JUNCTION, CO 81501-7819
(970) 241-2278
Mailing address
2700 G RD APT 7D, GRAND JUNCTION, CO 81506-1408
(605) 610-6664

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0021855
CO

Other

Enumeration date
08/05/2017
Last updated
08/05/2017
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