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Payton Jensen
NPI 1548718570 · on the registry since 2016
Practice
- Address
- 402 E Van Buren St
Ottawa, IL 61350 - Phone
- (815) 830-8290
Additional practice sites
- 113 Inverness Rd, Starkville, MS
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
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 Illinois