Nathan Harrison Mangum

NPI #1760161749 in Farr West, Utah

Provider Information

NPI Number
1760161749
Entity Type
Individual
Name
Nathan Harrison Mangum
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Jul 17, 2023
Last Updated
Jul 17, 2023

Practice Location

Address
2811 N 2350 W
State
Utah
ZIP Code
84404-5177
Phone
(801) 872-8757

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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