Individual
OMATSEYE EDEGBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2505 S 186TH CIR, OMAHA, NE 68130-2799
(402) 201-3733
Mailing address
2505 S 186TH CIR, OMAHA, NE 68130-2799
(402) 201-3733
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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