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Gary Jensen
NPI 1770508426 · on the registry since 2006 · sole proprietor
Practice
- Address
- 11 Nw First Ave
Chisholm, MN 55719 - Phone
- (218) 254-4393
- Fax
- (218) 254-5471
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-01-05
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 Minnesota