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Individual

EMMANUEL IBEKWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NM

Other

Enumeration date
10/03/2023
Last updated
11/18/2025
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