Kori Mansel

NPI #1285155077 in Brookings, Oregon

Provider Information

NPI Number: 1285155077
Entity Type: Individual
Name: Kori Mansel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Jun 30, 2017
Last Updated: Jun 30, 2017

Practice Location

Address: 307 FERN AVE
City: Brookings
State: Oregon
ZIP Code: 97415-2533
Phone: (541) 412-3810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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