TRACY MANGUM

STATESVILLE, NC
NPI1780803353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NC  2172)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
-- TRACY MANGUM
557 BROOKDALE DR
STATESVILLE, NC 28677-4107
Phone number: 704-873-5661
Mailing Address
-- TRACY MANGUM
557 BROOKDALE DR
STATESVILLE, NC 28677-4107
Phone number: 704-873-5661
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