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1972141273
JEREMIAH DAVID ZIMMERMAN
SPOKANE, WA
NPI
1972141273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA CG61026778)
Enumeration Date
2019-12-17
Last Update Date
2020-01-22
Business Address
JEREMIAH DAVID ZIMMERMAN
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208-1122
Phone number: 509-838-4651
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Mailing Address
JEREMIAH DAVID ZIMMERMAN
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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