Individual
ELLI AGBOKOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6111 S 211TH ST, ELKHORN, NE 68022-4134
(531) 225-5858
Mailing address
6111 S 211TH ST, ELKHORN, NE 68022-4134
(531) 225-5858
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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