Individual
THERESA MAY GOLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14517 GREBE ST, BENNINGTON, NE 68007-1224
(269) 245-2871
Mailing address
14517 GREBE ST, BENNINGTON, NE 68007-1224
(269) 245-2871
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NE
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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