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1003635087
MARIAM MANGU NANTANG
GREENSBORO, NC
NPI
1003635087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 245103)
Enumeration Date
2024-10-07
Last Update Date
2024-10-07
Business Address
Mrs. MARIAM MANGU NANTANG PMHNP
603 DOLLEY MADISON RD STE 100
GREENSBORO, NC 27410-4282
Phone number: 336-632-3505
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Mailing Address
Mrs. MARIAM MANGU NANTANG PMHNP
4272 JULIUS CT
GREENSBORO, NC 27406-8594
Phone number: 405-209-8497
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