LETICIA GAIL MANGRUM

MAYFIELD, KY
NPI1164152690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  110148)
Enumeration Date2022-06-16
Last Update Date2022-06-16
Business Address
LETICIA GAIL MANGRUM
1225 PARIS RD
MAYFIELD, KY 42066-4989
Phone number: 270-247-6262
Mailing Address
LETICIA GAIL MANGRUM
1225 PARIS RD
MAYFIELD, KY 42066-4989
Phone number: 270-247-6262
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