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Mike L Mangus
Speech/Language/Hearing Specialist/Technologist in Chickasha, Oklahoma
NPI 1588999064

Mike L Mangus is a Speech/Language/Hearing Specialist/Technologist based in Chickasha, OK. Mike L Mangus practices in Chickasha, OK. The NPI Number for Mike L Mangus is 1588999064 and holds a License No. 679 (Oklahoma).

The current practice location address for Mike L Mangus is 428 W Grand Ave, Chickasha, OK and can be reached out via phone at 405-222-5555 and via fax at 405-222-2028.

Location: 428 W Grand Ave, Chickasha, OK, 73018-5865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588999064
Provider Name
Mike L Mangus
Credential
Provider Entity Type
Individual
Gender
Male
Address
428 W Grand Ave, Chickasha, OK, 73018-5865
Phone Number
405-222-5555
Fax Number
405-222-2028
Provider Enumeration Date
10/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
428 W Grand Ave
City
Chickasha
State
Oklahoma
Zip
73018-5865
Phone Number
405-222-5555
Fax Number
405-222-2028
person
Provider Business Mailing Address Details
Address
428 W Grand Ave
City
Chickasha
State
Oklahoma
Zip
73018-5865
Phone Number
405-222-5555
Fax Number
405-222-2028
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
235500000X
License No.
679 (Oklahoma)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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