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DR. MICHAEL NICCOLO RAMOS MANGUBAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(562) 761-3472
Mailing address
6 PROVIDENCE CT, DURHAM, NC 27705-6125
(562) 761-3472

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101266959
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2015
Last updated
06/18/2019
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