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1851148845
TEDRICK MANGASSARIAN
NEW ORLEANS, LA
NPI
1851148845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-06
Last Update Date
2024-07-16
Business Address
Dr. TEDRICK MANGASSARIAN D.O.
2020 GRAVIER ST
NEW ORLEANS, LA 70112-2272
Phone number: 504-568-2577
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Mailing Address
Dr. TEDRICK MANGASSARIAN D.O.
2551 COMMUNITY AVE
MONTROSE, CA 91020-1115
Phone number: 818-523-4647
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