OMAR MANGRUM

GRAND RAPIDS, MI
NPI1457389157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: MI  6301005399)
Enumeration Date2006-06-29
Last Update Date2007-07-08
Business Address
OMAR MANGRUM EDD
161 OTTAWA AVE NW SUITE 300C
GRAND RAPIDS, MI 49503-2701
Phone number: 616-458-0692
Mailing Address
OMAR MANGRUM EDD
161 OTTAWA AVE NW SUITE 300C
GRAND RAPIDS, MI 49503-2701
Phone number: 616-458-0692
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