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1396040556
BRANDY BOGU
NORTH PLATTE, NE
NPI
1396040556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE P-960)
Enumeration Date
2011-01-20
Last Update Date
2011-01-20
Business Address
-- BRANDY BOGU P-960
425 N OAK ST
NORTH PLATTE, NE 69101-3764
Phone number: 308-532-8300
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Mailing Address
-- BRANDY BOGU P-960
425 N OAK ST
NORTH PLATTE, NE 69101-3764
Phone number: 308-532-8300
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