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1952980088
JGR CORPORATION PC
ANKENY, IA
NPI
1952980088
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Entity Type
Organization
Authorized Contact
AMANDA VANDEN WYNBOOM
Authorized Official
515-289-4549
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2021-04-06
Last Update Date
2021-04-06
Business Address
JGR CORPORATION PC
2675 N ANKENY BLVD STE 113
ANKENY, IA 50023-4719
Phone number: 515-289-4549
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Mailing Address
JGR CORPORATION PC
2675 N ANKENY BLVD STE 113
ANKENY, IA 50023-4719
Phone number: 515-289-4549
Copy
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