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Individual

DAVID MANGINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7869 BROCKWAY DR, BOULDER, CO 80303-4828
(303) 888-2819
Mailing address
7869 BROCKWAY DR, BOULDER, CO 80303-4828

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0001243
CO

Other

Enumeration date
01/20/2015
Last updated
01/20/2015
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