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1043818438
MIBOCA 1 LLC
OMAHA, NE
NPI
1043818438
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Entity Type
Organization
Authorized Contact
RAFAELA MONICA ROMERO
Manager
402-331-0701
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-10-16
Last Update Date
2020-10-16
Business Address
MIBOCA 1 LLC
5305 S 96TH ST
OMAHA, NE 68127-3317
Phone number: 402-331-0701
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Mailing Address
MIBOCA 1 LLC
5305 S 96TH ST
OMAHA, NE 68127-3317
Phone number: 402-331-0701
Copy
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