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Individual

ROGELIO DEJANO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ROGELIO DEJANO

Contact information

Practice address
2319 N 163RD ST, OMAHA, NE 68116-2537
(402) 213-5170
Mailing address
16962 POLK ST, OMAHA, NE 68135-3162
(402) 213-5170

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1520
NE

Other

Enumeration date
03/02/2011
Last updated
03/02/2011
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