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1841859832
KEATON MANGI
FAIRFIELD, CT
NPI
1841859832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-06-12
Last Update Date
2019-06-12
Business Address
KEATON MANGI
5151 PARK AVE
FAIRFIELD, CT 06825-1090
Phone number: 845-625-7110
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Mailing Address
KEATON MANGI
5151 PARK AVE
FAIRFIELD, CT 06825-1090
Phone number:
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