Individual
SEAN MATTHEW MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, RRT
Contact information
Practice address
1000 LAKEVIEW DR, BURNSVILLE, MN 55337-3824
(952) 808-8715
Mailing address
1000 LAKEVIEW DR, BURNSVILLE, MN 55337-3824
(952) 808-8715
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3172
MN
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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