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1225413487
TRACY D MANGAN
FORT WAYNE, IN
NPI
1225413487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71005609A)
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business 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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Mailing Address
-- TRACY D MANGAN NP
10343 DAWSONS CREEK BLVD SUITE A
FORT WAYNE, IN 46825-1906
Phone number: 260-203-9600
Copy
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