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-- CHARLOTTE D JENSEN -- R.N.

Individual Provider (NPI-1) Active

Registered Nurse

Provider Information

NPI Number
1083868756
Provider Type
Individual Provider (NPI-1)
Credentials
R.N.
Status
Active

Contact & Location

Address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY, 82514
Phone
(307) 332-7300
Fax
(307) 332-5753

Specialties & Taxonomies

Registered Nurse Primary License: WY #17048

All Addresses

MAILING

PO BOX 294

LANDER, WY, 825200294

(307) 349-0754

LOCATION

29 BLACK COAL DRIVE

FORT WASHAKIE, WY, 82514

(307) 332-7300