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1972133098
NICOLE MANGUS
EDGEWOOD, KY
NPI
1972133098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: KY 3014214)
Enumeration Date
2020-01-16
Last Update Date
2021-07-22
Business Address
NICOLE MANGUS APRN
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3403
Phone number: 859-301-2250
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Mailing Address
NICOLE MANGUS APRN
PO BOX 18667
ERLANGER, KY 41018-0667
Phone number: 859-572-3617
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