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1366795908
TERRA ROSE MANGUM
EDMONDS, WA
NPI
1366795908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA AP60314389)
Enumeration Date
2012-10-19
Last Update Date
2015-06-03
Business Address
Mrs. TERRA ROSE MANGUM MN, ARNP
7315 212TH ST SW #207
EDMONDS, WA 98026-7610
Phone number: 425-775-9474
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Mailing Address
Mrs. TERRA ROSE MANGUM MN, ARNP
7315 212TH ST SW #207
EDMONDS, WA 98026-7610
Phone number: 425-775-9474
Copy
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