JOSE G MANGROBANG

NELLIS AFB, NV
NPI1508946294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NV  PA1565)
Enumeration Date2006-10-17
Last Update Date2019-06-17
Business Address
JOSE G MANGROBANG PA-C
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2764
Mailing Address
JOSE G MANGROBANG PA-C
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2764
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