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Individual
JANKIE MANGARU
Active
Individual
JANKIE MANGARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013287-1
NY
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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