Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethan Rafael Mangum

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134979495

Ethan Rafael Mangum is a Student in an Organized Health Care Education/Training Program in Layton, Utah. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Layton, UT

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1134979495
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

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