Individual
MARIBEL ORANTE MANGILOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4881 SUGAR MAPLE DRIVE, WRIGHT-PATTERSON AFB, OH 45433
(937) 257-9392
(937) 256-1175
Mailing address
4881 SUGAR MAPLE DRIVE, WRIGHT-PATTERSON AFB, OH 45433
(937) 257-9392
(937) 256-1175
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
18429
MS
Other
Enumeration date
10/04/2006
Last updated
01/08/2015
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