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Individual

MS. JYL A MANGOONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBA, ATC, LAT

Contact information

Practice address
1201 N SCENIC HWY, BABSON PARK, FL 33827-9751
(863) 638-2949
Mailing address
1071 CASCADE CIR, ROCKLEDGE, FL 32955-8083
(321) 961-5593

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1832
FL

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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