Individual
MS. MARILYN ANN MANGUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC,R
Contact information
Practice address
1232 UNIVERSITY OF OREGON, EUGENE, OR 97403-1205
(541) 346-4150
Mailing address
2330 WILSON DR, EUGENE, OR 97405-1471
(541) 687-2331
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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