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1659145563
KALEB MANGUM
ST GEORGE, UT
NPI
1659145563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
KALEB MANGUM
348 E 600 S
ST GEORGE, UT 84770-3949
Phone number: 435-705-7574
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Mailing Address
KALEB MANGUM
348 E 600 S
ST GEORGE, UT 84770-3949
Phone number: 435-705-7574
Copy
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