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Individual

DIEGO NARANJO IBARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.T

Contact information

Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(800) 451-5796
Mailing address
5586 S 206TH CT APT 1208, ELKHORN, NE 68022-3571

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
5936
NE

Other

Enumeration date
03/31/2023
Last updated
03/31/2023
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