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Individual
MASHAIL MANZUR
Active
Individual
MASHAIL MANZUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001450
GA
213E00000X
Podiatrist
PR507
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
11/13/2020
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