Individual
HOLALI KODJOVI FOCADO TOULEASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7804 KILPATRICK PKWY, BENNINGTON, NE 68007-3323
(402) 591-9032
Mailing address
7804 KILPATRICK PKWY, BENNINGTON, NE 68007-3323
(402) 591-9032
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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