Individual
CLEMENT LUKUSA MANGOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 GALVIN RD N, BELLEVUE, NE 68005-4852
(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
06/09/2025
Last updated
06/09/2025
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