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1336408905
MIA L MANABAT
WEST ALLIS, WI
NPI
1336408905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: WI 69852-21)
Enumeration Date
2012-05-16
Last Update Date
2024-08-15
Business Address
MIA L MANABAT D.O.
2424 S 90TH ST STE 300
WEST ALLIS, WI 53227
Phone number: 414-328-8750
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Mailing Address
MIA L MANABAT D.O.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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