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1093060204
JESSICA MICHELLE MANGUS
DOUGLAS, WY
NPI
1093060204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY PT-1438)
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
-- JESSICA MICHELLE MANGUS D.P.T.
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-358-9464
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Mailing Address
-- JESSICA MICHELLE MANGUS D.P.T.
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-358-9464
Copy
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