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1417617911
TREY A KISSACK
GRAND ISLAND, NE
NPI
1417617911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2021-12-23
Last Update Date
2021-12-23
Business Address
TREY A KISSACK
1811 W. 2ND STREET, SUITE 450
GRAND ISLAND, NE 68803-5473
Phone number: 308-379-8619
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Mailing Address
TREY A KISSACK
1811 W. 2ND STREET, SUITE 450
GRAND ISLAND, NE 68803-5473
Phone number: 308-379-8619
Copy
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