Individual
JOHN IGUIDBASHIAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12631 E 17TH AVE, AURORA, CO 80045-2527
(303) 724-2680
Mailing address
1749 HILLSIDE DR, OMAHA, NE 68114-1620
(503) 956-9809
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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