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Individual
AUSTIN MANDOYAN
Active
Individual
AUSTIN MANDOYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A161682
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A161682
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD.MD.70158229
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD232283
OR
Other
Enumeration date
05/04/2017
Last updated
09/18/2026
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