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1316175474
SHAWN M MANGAN
PHILADELPHIA, PA
NPI
1316175474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP010334)
Enumeration Date
2009-06-29
Last Update Date
2018-01-04
Business Address
SHAWN M MANGAN CRNP
111 S 11TH ST
PHILADELPHIA, PA 19107-4824
Phone number: 215-355-8304
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Mailing Address
SHAWN M MANGAN CRNP
4300 BOONE ST
PHILADELPHIA, PA 19128-4901
Phone number: 856-296-6552
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