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1417514480
COURTNEY MANGAN
FORT WAYNE, IN
NPI
1417514480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 28160425A)
Enumeration Date
2019-05-24
Last Update Date
2019-05-24
Business Address
COURTNEY MANGAN NP
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
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Mailing Address
COURTNEY MANGAN NP
PO BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 260-436-8686
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