Jerry Jensen

NPI 1326254715 - Counselor - 101YM0800X

NPI Details
NPI 1326254715
Gender Male
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
171 DAWSON ST
SANDUSKY MI, 48471-1062, US
Phone (810) 648-0330
Fax
Business Location
217 E SANILAC RD
SUITE 1
SANDUSKY MI, 48471-1383, US
Phone (810) 648-0330
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Mr. Jerry Jensen NPI is 1326254715, taxonomy code is 101YM0800X Jerry Jensen physically located at 171 Dawson St, Sandusky MI, 48471-1062. NPI Number Jerry Jensen has the Individual type.

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1326254715 NPI number is provided on an as is basis without warranty of any kind. 1326254715 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Jensen are for informational purposes only.