BEGIN:VCARD VERSION:3.0 FN:James Koumaka N:Koumaka;James;;; TITLE:Personal Care Attendant TEL;TYPE=WORK,VOICE:+14029136411 URL:https://www.gale.care/providers/ne/omaha/james-koumaka-1801693627 NOTE:NPI 1801693627. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1801693627 END:VCARD