Individual
ALLISUN GARLAND JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
411 W MAIN ST, HAMILTON, MT 59840-2470
(406) 363-5104
(406) 363-2894
Mailing address
411 W MAIN ST, HAMILTON, MT 59840-2470
(406) 363-5104
(406) 363-2894
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
510
MT
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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