KENNETH PAUL MANSELLE

KISSIMMEE, FL
NPI1417037052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence:   PA9101437)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
MR. KENNETH PAUL MANSELLE PA-C
1050 W CARROLL ST
KISSIMMEE, FL 34741-1268
Phone number: 407-518-9775
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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