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1114913688
BASIL MANGRA
LAUDERDALE LAKES, FL
NPI
1114913688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: FL ME62781)
Enumeration Date
2005-09-21
Last Update Date
2015-07-28
Business Address
Dr. BASIL MANGRA MD
3296N STATE ROAD 7
LAUDERDALE LAKES, FL 33319-5615
Phone number: 954-484-6440
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Mailing Address
Dr. BASIL MANGRA MD
3296N STATE ROAD 7
LAUDERDALE LAKES, FL 33319-5615
Phone number: 954-484-6440
Copy