SERVILLANO M LAPORE

MULVANE, KS
NPI1316139439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: KS  11-01846)
Enumeration Date2007-08-13
Last Update Date2007-08-13
Business Address
Mr. SERVILLANO M LAPORE RPT
116 S CENTRAL AVE
MULVANE, KS 67110-1718
Phone number: 316-777-0977
Mailing Address
Mr. SERVILLANO M LAPORE RPT
12007 W HARDTNER CT
WICHITA, KS 67235-1315
Phone number: 316-722-2295