Individual
IVAN RAMON WRAGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1719 N TAYLOR AVE, GRAND ISLAND, NE 68803-2635
(308) 227-8336
Mailing address
1719 N TAYLOR AVE, GRAND ISLAND, NE 68803-2635
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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