Georgia
Composite Medical Board
MANGAROO, SHANTAE FONTANE
Medical - Resident Physician
License number
007653
Date granted
06/12/2015
Date expires
06/30/2017
Class
Medical - Resident Physician
Status
Active
Address
720 WESTVIEW DR SW
georgiadoctors.net
ID 38118239
LAST UPDATED 2024-04-11 08:31:03 UTC
LAST UPDATED 2024-04-11 08:31:03 UTC
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