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1114407368
MEENAL MANDEETA PRASAD-MANGAL
LODI, CA
NPI
1114407368
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Former Name
MEENAL MANDEETA PRASAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 287331)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
MEENAL MANDEETA PRASAD-MANGAL LVN
441 S HAM LN STE A
LODI, CA 95242-3525
Phone number: 209-224-8940
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Mailing Address
MEENAL MANDEETA PRASAD-MANGAL LVN
4200 HERITAGE CT
MODESTO, CA 95356-8785
Phone number: 916-613-6652
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