Individual
MRS. ROBYN DAWN MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1318 ELM ST, PERRY, OK 73077-5034
(580) 336-9411
(580) 336-9422
Mailing address
1318 ELM ST, PERRY, OK 73077-5034
(580) 336-9411
(580) 336-9422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1689
OK
Other
Enumeration date
01/30/2008
Last updated
10/27/2014
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