Organization
BROKEN BOW PUBLIC SCHOOLS COUNTY OF CUSTER SCHOOL DISTRICT 25
Active
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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