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1598801052
PAUL DANIEL MANGUM
ATHENS, GA
NPI
1598801052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA 526)
Enumeration Date
2007-01-30
Last Update Date
2007-07-09
Business Address
Dr. PAUL DANIEL MANGUM Ph.D
1150 S MILLEDGE AVE #3
ATHENS, GA 30605-6723
Phone number: 706-546-0255
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Mailing Address
Dr. PAUL DANIEL MANGUM Ph.D
1150 S MILLEDGE AVE #3
ATHENS, GA 30605-6723
Phone number: 706-546-0255
Copy
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