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1992038574
LACEY GORHAM MCMANUS
WINNFIELD, LA
NPI
1992038574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.Exam.703)
Enumeration Date
2009-09-14
Last Update Date
2009-09-14
Business Address
-- LACEY GORHAM MCMANUS PA
639 W LAFAYETTE ST
WINNFIELD, LA 71483-3451
Phone number: 318-648-2220
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Mailing Address
-- LACEY GORHAM MCMANUS PA
265 L SULLIVAN RD
WINNFIELD, LA 71483-6451
Phone number: 318-607-8861
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