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1942264122
CHARLES ROBERT MANGUS
DOUGLAS, WY
NPI
1942264122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY PT-246)
Enumeration Date
2006-04-14
Last Update Date
2012-10-17
Business Address
Mr. CHARLES ROBERT MANGUS P.T.
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-358-9464
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Mailing Address
Mr. CHARLES ROBERT MANGUS P.T.
111 S 5TH ST
DOUGLAS, WY 82633-2434
Phone number: 307-358-9464
Copy
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