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1275825325
BROOKE NELSON-MANGUM
CONWAY, SC
NPI
1275825325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 3135)
Enumeration Date
2011-05-09
Last Update Date
2011-05-09
Business Address
BROOKE NELSON-MANGUM OT
872 SINGLETON RIDGE RD
CONWAY, SC 29526-1101
Phone number: 843-347-3050
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Mailing Address
BROOKE NELSON-MANGUM OT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 610-991-2034
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