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Individual

DR. DANETTE CALICE KIBUULE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
DEPARTMENT OF RADIOLOGY, 981045 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-1045
(402) 559-1010
Mailing address
1820 PRESTON PARK BLVD, STE 1825, PLANO, TX 75093-5215
(972) 867-7862

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
23548
NE
2085R0202X
Diagnostic Radiology Physician
Primary
N9577
TX

Other

Enumeration date
04/26/2007
Last updated
07/07/2016
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