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Individual

STEPHANE MANGRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
339 N CLAREMONT AVE, FRESNO, CA 93727-3535
(626) 429-1542
Mailing address
339 N CLAREMONT AVE, FRESNO, CA 93727-3535
(626) 429-1542

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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