TRACY D MANGAN

FORT WAYNE, IN
NPI1225413487
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71005609A)
Enumeration Date2015-07-29
Last Update Date2015-07-29
Business Address
-- TRACY D MANGAN NP
10343 DAWSONS CREEK BLVD SUITE A
FORT WAYNE, IN 46825-1906
Phone number: 260-203-9600
Mailing Address
-- TRACY D MANGAN NP
10343 DAWSONS CREEK BLVD SUITE A
FORT WAYNE, IN 46825-1906
Phone number: 260-203-9600
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