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1114437712
STEPHANIE MANGAN
ABINGDON, VA
NPI
1114437712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119004489)
Enumeration Date
2017-10-09
Last Update Date
2017-10-09
Business Address
STEPHANIE MANGAN OT
18596 LEE HWY STE B
ABINGDON, VA 24210-8004
Phone number: 276-525-6043
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Mailing Address
STEPHANIE MANGAN OT
1713 MOUNT VERNON RD SW
ROANOKE, VA 24015-2904
Phone number: 540-521-7918
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