MISSMAMA SISSOHORE

BLACKLICK, OH
NPI1164621603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  PN124502)
Enumeration Date2007-07-14
Last Update Date2007-07-14
Business Address
-- MISSMAMA SISSOHORE LPN
8634 GREYLAG ST
BLACKLICK, OH 43004-7003
Phone number: 614-755-4972
Mailing Address
-- MISSMAMA SISSOHORE LPN
8634 GREYLAG ST
BLACKLICK, OH 43004-7003
Phone number: 614-755-4972
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