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Individual
DANIEL JAMES MANGAN
Active
Individual
DANIEL JAMES MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208672
WA DEPT OF LABOR
WA
01
—
OPT243510
BLUE SHIELD
CA
Enumeration date
12/05/2005
Last updated
01/17/2008
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