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Individual

WENDPOUIRE KABORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7733 L ST, RALSTON, NE 68127-1833
(531) 710-6581
Mailing address
7733 L ST, OMAHA, NE 68127-1833
(531) 710-6581

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
372600000X
Adult Companion
Primary
373H00000X
Day Training/Habilitation Specialist
Primary
376J00000X
Homemaker

Other

Enumeration date
03/07/2025
Last updated
04/05/2026
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