YACOUBA SORE

BRONX, NY
NPI1770800815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  300028-1)
Enumeration Date2010-04-29
Last Update Date2010-04-29
Business Address
-- YACOUBA SORE lpn
404 E 158TH ST APT 8H BRONX
BRONX, NY 10451-4564
Phone number: 917-825-2519
Mailing Address
-- YACOUBA SORE lpn
404 E 158TH ST APT 8H BRONX
BRONX, NY 10451-4564
Phone number: 917-825-2519
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