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Search › Utah › 152W00000X

Shane Jensen, O.D

NPI 1154422822 · on the registry since 2006 · sole proprietor

Practice

Address
415 E. Center Street
Panguitch, UT 84759
Phone
(435) 676-8646
Fax
(435) 676-8646
Organisation at this address
Shane R Jensen
Southwest Vision, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-06-16

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 Utah