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Individual

KOLISHA GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9281 KANSAS AVE, OMAHA, NE 68122-2528
(470) 856-2872
Mailing address
9281 KANSAS AVE, OMAHA, NE 68122-2528

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/27/2025
Last updated
01/27/2025
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