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DIEPREYE OMIEBA AKUIYIBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-2403
(432) 640-2797
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2403
(432) 640-2897

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
919999
TX
363L00000X
Nurse Practitioner
Primary
1201342
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1201342
TX

Other

Enumeration date
05/19/2025
Last updated
05/19/2026
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