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Missmama Sissohore, LPN

NPI 1164621603 · on the registry since 2007 · sole proprietor

Practice

Address
8634 Greylag St
Blacklick, OH 43004
Phone
(614) 755-4972

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio