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Irenee Lebuabanga
NPI 1942818786 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2669 Grand Colonial St
Grand Prairie, TX 75054 - Phone
- (817) 992-9138
- Organisation at this address
- Irenee A. Lebuabanga
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Sex
- Male
- Record last updated
- 2020-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas