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1124833025
MICHAEL DEAN GROWCOCK
LINCOLN, NE
NPI
1124833025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2025-02-10
Last Update Date
2025-02-10
Business Address
Mr. MICHAEL DEAN GROWCOCK
7010 GARLAND ST
LINCOLN, NE 68505-1444
Phone number: 402-617-8175
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Mailing Address
Mr. MICHAEL DEAN GROWCOCK
3243 CORNHUSKER HWY STE A10
LINCOLN, NE 68504-1592
Phone number: 402-202-8087
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