Individual
MS. MARY JO MANGELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
122 W LOMBARD DR, LINCOLN, NE 68521-5364
(402) 499-1553
Mailing address
122 W LOMBARD DR, LINCOLN, NE 68521-5364
(402) 499-1553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
55087
NE
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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