Individual
KOMI OLIVIER DZIDZOMGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
KD
Contact information
Practice address
101 E MISSION AVE, BELLEVUE, NE 68005-5220
(402) 933-0680
Mailing address
PO BOX 939, BELLEVUE, NE 68005-0939
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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