CRYSTAL GAIL MANGRUM

KINGSTON SPRINGS, TN
NPI1518019876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183700000X Pharmacy Technician
(Licence: TN  14104)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
CRYSTAL GAIL MANGRUM C.PH.T
111 W. KINGSTON SPRINGS RD STE 103
KINGSTON SPRINGS, TN 37082
Phone number: 615-952-3690
Mailing Address
CRYSTAL GAIL MANGRUM C.PH.T
PO BOX 420
BON AQUA, TN 37025-0420
Phone number: 615-412-3001