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1962657486
SUSAN PATRICIA MANGUM
SAN ANTONIO, TX
NPI
1962657486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 515148)
Enumeration Date
2008-11-25
Last Update Date
2016-05-13
Business Address
-- SUSAN PATRICIA MANGUM FNP-BC
2221 BUENA VISTA ST
SAN ANTONIO, TX 78207-3702
Phone number: 210-225-3524
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Mailing Address
-- SUSAN PATRICIA MANGUM FNP-BC
2819 NW LOOP 410 STE A
SAN ANTONIO, TX 78230-5105
Phone number: 210-225-3524
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