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1508583477
ANNA MARIA MANGRA
DOTHAN, AL
NPI
1508583477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL 2120)
Enumeration Date
2022-10-21
Last Update Date
2023-06-16
Business Address
ANNA MARIA MANGRA
102 DOCTORS DR
DOTHAN, AL 36301-2911
Phone number: 334-793-8804
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Mailing Address
ANNA MARIA MANGRA
201 CORMAN AVE
TROY, AL 36081-3816
Phone number: 334-733-3361
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