Individual
GARANG AGUTO GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 APPLEWOOD DR APT B103, PAPILLION, NE 68046-7612
(402) 378-1363
Mailing address
1214 APPLEWOOD DR APT B103, PAPILLION, NE 68046-7612
(402) 953-3571
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
02/27/2025
Last updated
09/28/2025
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