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1043330236
MARY MANGO
EAST SETAUKET, NY
NPI
1043330236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F304256-1)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- MARY MANGO ANP
220 N BELLE MEAD RD STE A
EAST SETAUKET, NY 11733-3458
Phone number: 631-941-2273
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Mailing Address
-- MARY MANGO ANP
194 POND VIEW LN
SMITHTOWN, NY 11787-5200
Phone number: 631-291-1876
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