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1982804548
ROSS THOMAS MANGIN
WINSTON SALEM, NC
NPI
1982804548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-00979)
Enumeration Date
2007-07-23
Last Update Date
2021-12-17
Business Address
ROSS THOMAS MANGIN PA
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-3013
Phone number: 800-899-5757
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Mailing Address
ROSS THOMAS MANGIN PA
PO BOX 75332
CHARLOTTE, NC 28275-0332
Phone number: 314-238-5260
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