DR. Gary L Jensen

NPI #1770508426 in Chisholm, Minnesota

Provider Information

NPI Number: 1770508426
Entity Type: Individual
Name: DR. Gary L Jensen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Jul 13, 2006
Last Updated: Jan 5, 2010

Practice Location

Address: 11 NW FIRST AVE
City: Chisholm
State: Minnesota
ZIP Code: 55719-1811
Phone: (218) 254-4393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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