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1740904846
DAMETRA MANGUM
FLOWOOD, MS
NPI
1740904846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 905487)
Enumeration Date
2022-10-03
Last Update Date
2024-11-01
Business Address
DAMETRA MANGUM FNP
232 MARKET ST STE 259
FLOWOOD, MS 39232-3339
Phone number: 601-310-9784
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Mailing Address
DAMETRA MANGUM FNP
1252 WEST GOVERNMENT STREET P.O. BOX 2336
BRANDON, MS 39042-8987
Phone number:
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