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1013639269
TIFFANY LEA JENNIGES
ALEXANDRIA, MN
NPI
1013639269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
TIFFANY LEA JENNIGES
700 CEDAR ST STE 46
ALEXANDRIA, MN 56308-1787
Phone number: 612-770-8803
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Mailing Address
TIFFANY LEA JENNIGES
700 CEDAR ST STE 46
ALEXANDRIA, MN 56308-1787
Phone number: 612-770-8803
Copy
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