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1023132123
JUSTIN SCOTT MANGUM
PASADENA, CA
NPI
1023132123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- JUSTIN SCOTT MANGUM
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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Mailing Address
-- JUSTIN SCOTT MANGUM
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
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