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1114138021
TODD ADAM MANGUM
SALT LAKE CITY, UT
NPI
1114138021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 3399401205)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Dr. TODD ADAM MANGUM M.D.
989 E 900 S SUITE A1
SALT LAKE CITY, UT 84105-1473
Phone number: 801-531-8340
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Mailing Address
Dr. TODD ADAM MANGUM M.D.
989 E 900 S SUITE A1
SALT LAKE CITY, UT 84105-1473
Phone number: 801-531-8340
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