SAMUEL KULLEN MANCIL

LAKE CHARLES, LA
NPI1679271977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  11254)
Enumeration Date2023-02-16
Last Update Date2023-02-16
Business Address
SAMUEL KULLEN MANCIL
208 W MCNEESE ST
LAKE CHARLES, LA 70605-5638
Phone number: 337-824-5488
Mailing Address
SAMUEL KULLEN MANCIL
1322 ELTON RD STE I
JENNINGS, LA 70546-4100
Phone number:
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