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1689481822
BRENNA DEE FORTKAMP-EVENSEN
LINCOLN, NE
NPI
1689481822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2024-12-11
Last Update Date
2024-12-11
Business Address
BRENNA DEE FORTKAMP-EVENSEN
4330 W REBECCA LN
LINCOLN, NE 68528-1122
Phone number: 402-470-7680
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Mailing Address
BRENNA DEE FORTKAMP-EVENSEN
4330 W REBECCA LN
LINCOLN, NE 68528-1122
Phone number: 402-470-7680
Copy