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Individual
ALEXANDER PETER TODD MANGERIAN
Active
Individual
ALEXANDER PETER TODD MANGERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0116037392
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2022
Last updated
08/24/2023
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