Depends. They have an option that gives a US number. Unless that's finished. You can use it to call out using VoIP or through telegram or WhatsApp.
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I use it all the time when visiting my in-laws. Eventually I will migrate to it full time. Its global
Simplex.Chat
Yes. I run my own server and didn't think to mention it!!! Bad nostr:nprofile1qqsg5uvaggng42f976cjhjlxkezldmyzalnyaty3mtuntlwveu0slegpzamhxue69uhkummnw3ezuum5v94k27fwdejhgtcprpmhxue69uhhyetvv9ujuen0w4h8gctfdchxvmf0qy2hwumn8ghj7un9d3shjtn90p5hgtnsw43z7359v9u