Most Relevant Information
Provider Data
NPI Number: | 1003554916 |
Provider Name: | DEBRA JO GRANT |
Entity Type: | Individual |
Taxonomy Code: | 3747P1801X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 05/22/2022 |
Last Updated: | 05/22/2022 |
Provider Practice Location
5905 O ST
LINCOLN
NE
685102235
Practice Location Phone/Fax
Phone: | 4024361000 |
Fax: |
Provider Mailing Location
5905 O ST
LINCOLN
NE
685102235
Provider Mailing Phone/Fax
Phone: | 4024361000 |
Fax: |