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1386953180
THEODORE J MANGRU ARNP INC
MIAMI BEACH, FL
NPI
1386953180
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Entity Type
Organization
Authorized Contact
THEODORE J MANGRU
Owner
305-439-7987
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 2913662)
Enumeration Date
2010-09-28
Last Update Date
2010-09-28
Business Address
THEODORE J MANGRU ARNP INC
42 COLLINS AVE
MIAMI BEACH, FL 33139-7314
Phone number: 305-672-1771
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Mailing Address
THEODORE J MANGRU ARNP INC
731 NW 155TH TER
PEMBROKE PINES, FL 33028-1511
Phone number: 305-439-7987
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