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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. DIVINE MANSIBA MAGANTO

Active

Nurse's Aide · MILTON FREEWATER, OR

Registration Details

NPI Number
1548890916
Provider Type
Individual
Gender
Female
NPI Issued
Jan 24, 2020 (6.2545954328961 yrs)
Last Updated
Jan 24, 2020

Practice Information

Address
1010 NE 3RD AVE
MILTON FREEWATER, OR, 97862
Browse OR providers · Browse ZIP 97862
Phone
5419385693
Primary Specialty
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.