Individual
OWEN MASON GREDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 N 16TH ST, LINCOLN, NE 68508-1286
(531) 205-0122
Mailing address
1410 MANATT ST, LINCOLN, NE 68521-1755
(531) 205-0122
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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