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1942593694
SAMANTHA K MANGUM
BOULDER, CO
NPI
1942593694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-05-26
Last Update Date
2011-05-26
Business Address
Ms. SAMANTHA K MANGUM
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-444-9126
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Mailing Address
Ms. SAMANTHA K MANGUM
1460 S ASH ST
DENVER, CO 80222-3628
Phone number: 210-875-7533
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