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Individual
JOHN E NYBOER
Active
Individual
JOHN E NYBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10309R
LA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
10309R
LA
Other
Enumeration date
10/21/2005
Last updated
04/01/2014
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