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Individual
CAROLYN MANGOZHE
Active
Individual
CAROLYN MANGOZHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71013647A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
71013647A
IN
Other
Enumeration date
03/27/2023
Last updated
09/03/2025
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