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Individual

ASHLEY MANGUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4532 PLANK RD, FREDERICKSBURG, VA 22407-0139
(540) 252-1840
Mailing address
2800 BATTERY AVE, HENRICO, VA 23228-5802
(804) 248-1640

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024178194
VA

Other

Enumeration date
09/22/2019
Last updated
09/22/2019
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