THANONSACK MANIVONG

GRAND ISLAND, NE
NPI1104762681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies372600000X Adult Companion
Enumeration Date2026-04-27
Last Update Date2026-04-27
Business Address
THANONSACK MANIVONG
309 W 2ND ST
GRAND ISLAND, NE 68801-5933
Phone number: 308-833-5300
Mailing Address
THANONSACK MANIVONG
3104 RAASCH DR
NORFOLK, NE 68701-3407
Phone number: 402-316-4689
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