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Individual

MONA S MANGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3931 E 98TH ST, TULSA, OK 74137-5202
(918) 299-2389
Mailing address
3931 E 98TH ST, TULSA, OK 74137-5202
(918) 299-2389

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12981
OK

Other

Enumeration date
01/09/2006
Last updated
09/01/2009
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