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1306915939
AMY J. MANGRUM
CHARLOTTESVILLE, VA
NPI
1306915939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: VA 0101227466)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
AMY J. MANGRUM
LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-0000
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Mailing Address
AMY J. MANGRUM
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903-2981
Phone number:
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