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1649933698
NITHIXAY SOMSANITH
BENTON HARBOR, MI
NPI
1649933698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
2021-10-18
Last Update Date
2021-10-18
Business Address
NITHIXAY SOMSANITH
1440 E EMPIRE AVE
BENTON HARBOR, MI 49022-2020
Phone number: 269-487-9820
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Mailing Address
NITHIXAY SOMSANITH
1440 E EMPIRE AVE
BENTON HARBOR, MI 49022-2020
Phone number: 269-487-9820
Copy
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