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1508946294
JOSE G MANGROBANG
NELLIS AFB, NV
NPI
1508946294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NV PA1565)
Enumeration Date
2006-10-17
Last Update Date
2019-06-17
Business 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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Mailing Address
JOSE G MANGROBANG PA-C
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191-6600
Phone number: 702-653-2764
Copy
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