Leticia Gail Mangrum
Leticia Gail Mangrum is an Optician in Mayfield, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2022
Practice location Address checks out
1225 Paris RdMayfield, KY 42066-4989
Phone: (270) 247-6262
Fax: (270) 247-8652
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 110148 (KY) |
|---|
Record details
| NPI number | 1164152690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2022 |
| Last updated in NPPES | June 16, 2022 |
| Certification date | June 16, 2022 |
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