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Individual

MARQUIS MANGRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1217 S HEWITT DR, HEWITT, TX 76643-3200
(254) 723-2400
Mailing address
1217 S HEWITT DR, HEWITT, TX 76643-3200
(254) 723-2400

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT113672
TX

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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