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1346959897
JENNIE WATERS
BISMARCK, ND
NPI
1346959897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
JENNIE WATERS
3720 CENTENNIAL RD SPC 74
BISMARCK, ND 58503-8001
Phone number: 701-989-1957
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Mailing Address
JENNIE WATERS
GENERAL DELIVERY
BISMARCK, ND 58501-9999
Phone number: 701-989-1957
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