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Mike L Mangus

NPI #1588999064 in Chickasha, Oklahoma

Provider Information

NPI Number
1588999064
Entity Type
Individual
Name
Mike L Mangus
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist
Enumeration Date
Oct 16, 2009
Last Updated
Oct 16, 2009

Practice Location

Address
428 W GRAND AVE
City
Chickasha
State
Oklahoma
ZIP Code
73018-5865
Phone
(405) 222-5555

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist

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