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1548463011
KIM M MANGANTE
MARTINEZ, CA
NPI
1548463011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
-- KIM M MANGANTE RAS
904 MELLUS ST
MARTINEZ, CA 94553-1745
Phone number: 925-229-0230
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Mailing Address
-- KIM M MANGANTE RAS
1901 CHURCH LN
SAN PABLO, CA 94806-3707
Phone number: 510-236-3139
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