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1508087206
IBUKUNOLA CHARLES JEGEDE
OMAHA, NE
NPI
1508087206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: NE 561)
Enumeration Date
2007-05-01
Last Update Date
2017-11-28
Business Address
Dr. IBUKUNOLA CHARLES JEGEDE Ph.D.
17500 BURKE ST
OMAHA, NE 68118-2244
Phone number: 402-401-3566
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Mailing Address
Dr. IBUKUNOLA CHARLES JEGEDE Ph.D.
17500 BURKE ST
OMAHA, NE 68118-2244
Phone number: 402-401-3566
Copy
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