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Jensen Bryan
NPI 1487161550 · on the registry since 2018
Practice
- Address
- 1741 Bellamah Ave Nw Apt 4308
Albuquerque, NM 87104 - Phone
- (314) 974-4169
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-10
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 New Mexico