BRANDON LEE ZIMMER

FORT LEONARD WOOD, MO
NPI1306298104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
-- BRANDON LEE ZIMMER
5047 VIRGINIA AVE BLDG 500
FORT LEONARD WOOD, MO 65473-9126
Phone number: 573-596-0408
Mailing Address
-- BRANDON LEE ZIMMER
5047 VIRGINIA AVE BLDG 500
FORT LEONARD WOOD, MO 65473-9126
Phone number: 573-596-0408
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