LAURA MANGUM

AUSTIN, TX
NPI1255543989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT05397)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- LAURA MANGUM R.D., L.D.
15808 HWY 620 NORTH SUITE 100
AUSTIN, TX 78717
Phone number: 512-731-8679
Mailing Address
-- LAURA MANGUM R.D., L.D.
4432 PASADA LN
ROUND ROCK, TX 78681-1683
Phone number: 512-731-8679
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