Individual
JAN C MANGELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
640 FLORMANN ST, SUITE 400, RAPID CITY, SD 57701
(605) 342-7400
(605) 342-8239
Mailing address
640 FLORMANN ST, SUITE 400, RAPID CITY, SD 57701
(605) 342-7400
(605) 342-8239
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
CM000017
SD
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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