BARRY GRAVATT

RAPID CITY, SD
NPI1174953327
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-11-24
Last Update Date2013-11-24
Business Address
-- BARRY GRAVATT
111 NORTH ST
RAPID CITY, SD 57701-1163
Phone number: 605-343-0650
Mailing Address
-- BARRY GRAVATT
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262