FREDERIC MASADA GRAVES

GRAND ISLAND, NE
NPI1811777907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  13632)
Enumeration Date2023-10-05
Last Update Date2023-10-05
Business Address
FREDERIC MASADA GRAVES
914 BAUMANN DR
GRAND ISLAND, NE 68803-4401
Phone number: 308-390-2664
Mailing Address
FREDERIC MASADA GRAVES
914 BAUMANN DR
GRAND ISLAND, NE 68803-4401
Phone number: 308-390-2664
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