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Jacob Jensen

NPI 1497187074 · on the registry since 2013 · sole proprietor

Practice

Address
215 Maple St S
Turtle Lake, WI 54889
Phone
(715) 986-2225
Fax
(715) 986-4079
Organisation at this address
James Pharmacy - Turtle Lake Ltd
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-06

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 Wisconsin