Individual
DEBRA JO GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/22/2022
Last updated
05/22/2022
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