Ridiculous piece nurse cuts off having opened Uncle Sam's zip? (8,5)

Guardian Cryptic #29286 | 9 Down | 2024-01-23
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I haven't cracked this one yet — but the brilliant team at Fifteensquared have:

SEN (State Enrolled Nurse) + SEVERS="cuts off"; both inside NONE="zip" (US usage, so "Uncle Sam's")

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