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1134119209
GHASSEM MANGOURI
JOHNSON CITY, NY
NPI
1134119209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 154223)
Enumeration Date
2005-10-28
Last Update Date
2007-07-08
Business Address
-- GHASSEM MANGOURI M.D.
355 RIVERSIDE DR
JOHNSON CITY, NY 13790-2708
Phone number: 607-798-0706
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Mailing Address
-- GHASSEM MANGOURI M.D.
355 RIVERSIDE DR
JOHNSON CITY, NY 13790-2708
Phone number: 607-798-0706
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