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1134205727
MARK RUSSELL MANGOLD
ANAHEIM, CA
NPI
1134205727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: CA DC21419)
Enumeration Date
2006-10-27
Last Update Date
2007-07-09
Business Address
Dr. MARK RUSSELL MANGOLD D.C., QME
751 S WEIR CANYON RD STE 181
ANAHEIM, CA 92808-1962
Phone number: 714-974-3930
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Mailing Address
Dr. MARK RUSSELL MANGOLD D.C., QME
751 S WEIR CANYON RD STE 181
ANAHEIM, CA 92808-1962
Phone number: 714-974-3930
Copy
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