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1154518876
KIMBERLY GRAY MANGUM
RALEIGH, NC
NPI
1154518876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NC 6619)
Enumeration Date
2007-09-26
Last Update Date
2007-12-13
Business Address
-- KIMBERLY GRAY MANGUM MOT, OTR/L
7209 CREEDMOOR RD SUITE 101
RALEIGH, NC 27613-1625
Phone number: 919-844-1100
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Mailing Address
-- KIMBERLY GRAY MANGUM MOT, OTR/L
11725 STANNARY PL
RALEIGH, NC 27613-7814
Phone number: 352-682-8996
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