Individual
JOEL AGOSSOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
301 CHATEAU DR APT 18, BELLEVUE, NE 68005-2159
(402) 208-0255
Mailing address
301 CHATEAU DR APT 18, BELLEVUE, NE 68005-2159
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25491
NE
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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