Kimberly Mangus

NPI #1003213810 in Bartow, Florida

Provider Information

NPI Number: 1003213810
Entity Type: Individual
Name: Kimberly Mangus
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Nov 21, 2014
Last Updated: Nov 21, 2014

Practice Location

Address: 1239 E MAIN ST
City: Bartow
State: Florida
ZIP Code: 33830-5058
Phone: (863) 519-0575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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