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Individual

MRS. RUBY ROSE VILLENA BANDIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16134 W STREET, OMAHA, NE 68135
(531) 210-1077
Mailing address
204 GALVIN RD N, BELLEVUE, NE 68005
(402) 769-9225
(402) 585-0081

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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