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1942695960
JENA ZIMMERMAN
PONCA, NE
NPI
1942695960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224900000X Mastectomy Fitter
Enumeration Date
2015-04-06
Last Update Date
2015-04-06
Business Address
-- JENA ZIMMERMAN CMf
401 PRAIRIE AVE
PONCA, NE 68770-7319
Phone number: 712-259-0836
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Mailing Address
-- JENA ZIMMERMAN CMf
401 PRAIRIE AVE
PONCA, NE 68770-7319
Phone number: 712-259-0836
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