DIANE D MANGUM
Medical Practice at Jaybird Cir, Jacksonville, FL

License number

Florida 548077

Issued Date

Feb 24, 2015

Effective Date

Oct 5, 2016

Expiration Date

Dec 1, 2018

Category

Health Care

Type

Emergency Medical Technician

Address

Address

9307 Jaybird Cir E, Jacksonville, FL 32257

Phone

(904) 923-7876

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