Provider Information for 1437665759
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Dr. GERALD CHIBUZOR IGBOANUSI Counselor
Sex: Male
NPI: 1437665759
Last Updated: 2024-02-07
Certification Date: 2024-02-07
Certification Date: 2024-02-07
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1437665759 | ||||||||||||
| Enumeration Date | 2017-12-21 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 14204 HUNTINGTON AVE OMAHA, NE 68164-1200 United States Phone: 402-953-4240 | Fax: | ||||||||||||
| Primary Practice Address | 14204 HUNTINGTON AVE OMAHA, NE 68164-1200 United States Phone: 402-953-4240 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 4314 AURORA DR | ||||||||||||
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