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Individual
SCOTT M MANTUA
Active
Individual
SCOTT M MANTUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP449561
PA
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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