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Individual

TABITHA S JIBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 S JOHNSON RD APT 531, FREMONT, NE 68025-6530
(385) 274-9380
Mailing address
748 E MILITARY AVE, FREMONT, NE 68025-5183
(402) 595-0231

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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