Individual
JESS ALLAN MANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
644 ROLAND ST, COMBINED LOCKS, WI 54113-1402
(920) 570-8095
Mailing address
644 ROLAND ST, COMBINED LOCKS, WI 54113-1402
(920) 570-8095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14360-40
WI
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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