Individual
STEPHAN MANGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6605 DEBCOE DR, AUSTIN, TX 78749-1784
(774) 270-0801
Mailing address
6605 DEBCOE DR, AUSTIN, TX 78749-1784
(774) 270-0801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT129762
TX
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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