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1427130749
KIM P MANGHAM
KELLER, TX
NPI
1427130749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: TX L3741)
Enumeration Date
2006-10-19
Last Update Date
2021-04-28
Business Address
KIM P MANGHAM MD
1601 KELLER PKWY
KELLER, TX 76248-3703
Phone number: 817-431-1450
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Mailing Address
KIM P MANGHAM MD
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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