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Miranda Jensen
NPI 1053793992 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1715 Mesquite Rd
Southlake, TX 76092 - Phone
- (817) 707-0021
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-28
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 Texas