Provider Information for 1548490089
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Ms. TAMMIE A JENSEN MA
Sex: Female
NPI: 1548490089
Last Updated: 2023-10-06
Certification Date: 2023-10-06
Certification Date: 2023-10-06
Details
| Name | Value | ||||||||||||||||
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| NPI | 1548490089 | ||||||||||||||||
| Enumeration Date | 2009-07-17 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1532 BUTLER ST BLAIR, NE 68008-2211 United States Phone: 402-533-9379 | Fax: | ||||||||||||||||
| Primary Practice Address | 100 INDIAN HILLS DR MACY, NE 68039-3023 United States Phone: 402-837-5381 | Fax:402-837-5371 | ||||||||||||||||
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