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1952939951
GOUTAMI MANGU
ODESSA, TX
NPI
1952939951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
GOUTAMI MANGU
701 W 5TH ST
ODESSA, TX 79763-4206
Phone number: 432-703-5375
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Mailing Address
GOUTAMI MANGU
701 W 5TH ST STE 1229
ODESSA, TX 79763-4206
Phone number: 432-703-5375
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