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1104442581
BRIDGETTE MANGOLD
LOUISVILLE, KY
NPI
1104442581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY TP2020003)
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
BRIDGETTE MANGOLD
9368 CEDAR CENTER WAY
LOUISVILLE, KY 40291-4522
Phone number: 502-231-3979
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Mailing Address
BRIDGETTE MANGOLD
6417 COLOME DR
LOUISVILLE, KY 40291-2976
Phone number: 859-221-9113
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