Organization
BROKEN BOW PUBLIC SCHOOLS COUNTY OF CUSTER SCHOOL DISTRICT 25
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA E MAYOR-GASTON (SPED ADMINISTRATIVE ASSISTANT)
(308) 872-6821
Entity
Organization
Contact information
Practice address
323 N 7TH AVE, BROKEN BOW, NE 68822-1718
(308) 872-6821
(308) 872-2751
Mailing address
323 N 7TH AVE, BROKEN BOW, NE 68822-1718
(308) 872-6821
(308) 872-2751
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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