ALLISON MANGRUM

SALT LAKE CITY, UT
NPI1841487949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: UT  54864492401)
Enumeration Date2007-10-02
Last Update Date2007-10-02
Business Address
-- ALLISON MANGRUM DPT
50 N MEDICAL DR # 1R107
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2619
Mailing Address
-- ALLISON MANGRUM DPT
10328 S 2260 E
SANDY, UT 84092-4401
Phone number: 801-865-5645
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