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1891202131
KOSSI MAWOULI ZOTOGLO
OMAHA, NE
NPI
1891202131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IA 090410)
Enumeration Date
2018-01-09
Last Update Date
2023-12-15
Business Address
Mr. KOSSI MAWOULI ZOTOGLO PA-C
4101 WOOLWORTH AVE
OMAHA, NE 68105-1850
Phone number: 402-995-3462
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Mailing Address
Mr. KOSSI MAWOULI ZOTOGLO PA-C
3254 S 72ND AVE
OMAHA, NE 68124-3576
Phone number: 402-681-1036
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