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1861866519
MIA MANGUNO
AMES, IA
NPI
1861866519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08405)
Enumeration Date
2015-11-18
Last Update Date
2018-08-01
Business Address
MIA MANGUNO FNP
ISU THIELEN STUDENT HEALTH CENTER 2647 UNION DRIVE
AMES, IA 50011
Phone number: 515-294-5801
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Mailing Address
MIA MANGUNO FNP
ISU THIELEN STUDENT HEALTH CENTER 2647 UNION DRIVE
AMES, IA 50011-2029
Phone number: 515-294-5801
Copy
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