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1902956311
JORGE L MANGUAL
ROCHESTER, NY
NPI
1902956311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NY 488210)
Enumeration Date
2007-01-11
Last Update Date
2007-11-10
Business Address
-- JORGE L MANGUAL CRNA
601 ELMWOOD AVE BOX 604
ROCHESTER, NY 14642-0001
Phone number: 585-275-5892
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Mailing Address
-- JORGE L MANGUAL CRNA
601 ELMWOOD AVE BOX 604
ROCHESTER, NY 14642-0001
Phone number: 585-275-5982
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