JACQUELINE S MANGRUM

PHOENIX, AZ
NPI1750583886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP014022)
Enumeration Date2007-06-01
Last Update Date2007-07-08
Business Address
Mrs. JACQUELINE S MANGRUM LPN
3401 N 67TH AVE
PHOENIX, AZ 85033-4517
Phone number: 623-691-4085
Mailing Address
Mrs. JACQUELINE S MANGRUM LPN
3401 N 67TH AVE
PHOENIX, AZ 85033-4517
Phone number: 623-691-4085
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