Individual
CARISSA MANGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1173 S 8TH ST, ALBION, NE 68620-1736
(402) 395-5013
Mailing address
PO BOX 151, ALBION, NE 68620-0151
(402) 395-5013
(402) 395-2327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8436
NE
Other
Enumeration date
05/14/2019
Last updated
08/18/2022
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