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1326280587
SANDRA KAY MANGAN
PORT HURON, MI
NPI
1326280587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704160601)
Enumeration Date
2009-04-01
Last Update Date
2011-08-08
Business Address
MRS. SANDRA KAY MANGAN FNP-BC
3415 28TH ST
PORT HURON, MI 48060-6931
Phone number: 810-987-5300
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Mailing Address
MRS. SANDRA KAY MANGAN FNP-BC
21089 SOUTHWAY DR
MACOMB, MI 48044-2242
Phone number: 586-598-6947
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