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1790261378
JENNA R DIMETROFF
JOPLIN, MO
NPI
1790261378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
JENNA R DIMETROFF
2808 S PICHER AVE
JOPLIN, MO 64804-1645
Phone number: 417-347-7850
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Mailing Address
JENNA R DIMETROFF
PO BOX 2526
JOPLIN, MO 64803-2526
Phone number: 417-347-7579
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