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Blaine Jensen, PA-C

NPI 1023129996 · on the registry since 2006

Practice

Address
1134 W Hwy 60
Superior, AZ 85273
Phone
(520) 689-2423
Fax
(520) 689-5237

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona