Aaron Mangum MAT, ATC

NPI 1407250483 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1407250483
Gender Male
Enumeration Date 10/20/2014
Last Updated 10/20/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
2850 JERICHO ROAD
LAGRANGE KY, 40031, US
Phone (502) 648-8483
Fax
Business Location
2850 JERICHO RD
LA GRANGE KY, 40031-8215, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State
License Number
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According to our database, Mr. Aaron Mangum MAT, ATC NPI is 1407250483, taxonomy code is 2255A2300X Aaron Mangum MAT, ATC physically located at 2850 Jericho Road, Lagrange KY, 40031. NPI Number Aaron Mangum MAT, ATC has the Individual type.

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1407250483 NPI number is provided on an as is basis without warranty of any kind. 1407250483 is maintained by the National Plan & Provider Enumeration System. The contents of Aaron Mangum MAT, ATC are for informational purposes only.