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1417037052
KENNETH PAUL MANSELLE
KISSIMMEE, FL
NPI
1417037052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA9101437)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Mr. KENNETH PAUL MANSELLE PA-C
1050 W CARROLL ST
KISSIMMEE, FL 34741-1268
Phone number: 407-518-9775
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Mailing Address
Mr. KENNETH PAUL MANSELLE PA-C
4473 EMERSON PARK DR #101
ORLANDO, FL 32839-6107
Phone number: 941-961-3977
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