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1215560339
MIMI MANGUNE
COVINA, CA
NPI
1215560339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 624222)
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
MIMI MANGUNE
1161 E COVINA BLVD
COVINA, CA 91724-1523
Phone number: 626-859-5258
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Mailing Address
MIMI MANGUNE
1161 E COVINA BLVD
COVINA, CA 91724-1523
Phone number: 626-859-5258
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