Individual
SIMON KABORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2633 N 165TH ST, OMAHA, NE 68116-7506
(646) 546-2957
Mailing address
3509 HARRISON ST, BELLEVUE, NE 68147-1252
(646) 546-2957
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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