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Individual
JEWEL MARIE WACKER
Active
Individual
JEWEL MARIE WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
106822
NE
3747P1801X
Personal Care Attendant
Primary
106822
NE
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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