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Individual

JESSICA AGBOSSOUMONDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18 CRAIGVILLE RD, GOSHEN, NY 10924-2209
(757) 292-3113
Mailing address
18 CRAIGVILLE RD, GOSHEN, NY 10924-2209

Taxonomy

Speciality
Code
Description
License number
State
163WX1500X
Ostomy Care Registered Nurse
Primary
664955
NY

Other

Enumeration date
08/21/2023
Last updated
08/21/2023
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