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1154446649
JACQUELINE NELSON-MANGATAL
ST PETERSBURG, FL
NPI
1154446649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN16582)
Enumeration Date
2007-03-21
Last Update Date
2007-07-09
Business Address
-- JACQUELINE NELSON-MANGATAL D.D.S.
3011 CENTRAL AVE
ST PETERSBURG, FL 33713-8632
Phone number: 786-316-5044
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Mailing Address
-- JACQUELINE NELSON-MANGATAL D.D.S.
7085 VIA LEONARDO
LAKE WORTH, FL 33467-5236
Phone number: 786-316-5044
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