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1912351917
SALLY JANE MANGUM
CORVALLIS, OR
NPI
1912351917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR 177159)
Enumeration Date
2016-04-16
Last Update Date
2019-09-24
Business Address
Dr. SALLY JANE MANGUM D.O.
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-3737
Phone number: 541-768-4906
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Mailing Address
Dr. SALLY JANE MANGUM D.O.
3600 NW SAMARITAN DR
CORVALLIS, OR 97330-3737
Phone number: 541-768-4906
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