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Organization

MGML, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE GAY MANGALIAG LIM P.T. (PRESIDENT)
(702) 354-5478
Entity
Organization

Contact information

Practice address
8534 BENIDORM AVE, LAS VEGAS, NV 89178-4806
(702) 354-5478
(702) 458-3824
Mailing address
8534 BENIDORM AVE, LAS VEGAS, NV 89178-4806
(702) 354-5478
(702) 458-3824

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1689
NV

Other

Enumeration date
04/08/2010
Last updated
04/08/2010
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