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1790008142
JENNIFER SUZANNE MANGUM
CHULA VISTA, CA
NPI
1790008142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA I8161079)
Enumeration Date
2010-03-11
Last Update Date
2010-03-11
Business Address
Mrs. JENNIFER SUZANNE MANGUM
1161 3RD AVE
CHULA VISTA, CA 91911-3136
Phone number: 877-637-6237
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Mailing Address
Mrs. JENNIFER SUZANNE MANGUM
1161 3RD AVE
CHULA VISTA, CA 91911-3136
Phone number: 877-637-6237
Copy
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