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Individual

YUDISLEIDIS GRANGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1524 COVENTRY LN APT 48, GRAND ISLAND, NE 68801-7070
(346) 247-4061
Mailing address
1524 COVENTRY LN APT 48, GRAND ISLAND, NE 68801-7070

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
02/27/2025
Last updated
02/27/2025
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