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1174252191
LISA MARIE MANGABANG
STATEN ISLAND, NY
NPI
1174252191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
LISA MARIE MANGABANG
1037 RATHBUN AVE
STATEN ISLAND, NY 10309-2112
Phone number: 917-573-6305
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Mailing Address
LISA MARIE MANGABANG
1037 RATHBUN AVE
STATEN ISLAND, NY 10309-2112
Phone number: 917-573-6305
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