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Individual

MARV ALWYN MANGALINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11920 SOUTHERN HIGHLANDS PKWY STE 100, LAS VEGAS, NV 89141-3273
(702) 435-1995
Mailing address
1909 BONITA AVE, LAS VEGAS, NV 89104-3801
(702) 690-6156

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/14/2023
Last updated
03/28/2024
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