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1457188351
KOUASSI TATA KOUASSI
OMAHA, NE
NPI
1457188351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NE 18403)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
Dr. KOUASSI TATA KOUASSI Pharm D
12767 Q ST
OMAHA, NE 68137-3211
Phone number: 402-895-7037
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Mailing Address
Dr. KOUASSI TATA KOUASSI Pharm D
12767 Q ST
OMAHA, NE 68137-3211
Phone number: 402-895-7037
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