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1528313350
STEPHANIE ELAINE FANGMAN
MANCHESTER, IA
NPI
1528313350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601006398)
Enumeration Date
2012-07-18
Last Update Date
2020-10-28
Business Address
STEPHANIE ELAINE FANGMAN PA-C
709 W MAIN ST STE 3
MANCHESTER, IA 52057-1526
Phone number: 563-927-7698
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Mailing Address
STEPHANIE ELAINE FANGMAN PA-C
709 W MAIN ST STE 3
MANCHESTER, IA 52057-1526
Phone number: 563-927-7777
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