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1992282511
LYDIA ROSE MANGAN
INDIANAPOLIS, IN
NPI
1992282511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IN 10002502A)
Enumeration Date
2018-07-26
Last Update Date
2022-07-20
Business Address
LYDIA ROSE MANGAN PA-C
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260
Phone number: 317-338-7674
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Mailing Address
LYDIA ROSE MANGAN PA-C
8402 HARCOURT RD STE 100
INDIANAPOLIS, IN 46260-2006
Phone number:
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