License holder summary

MANGUN SHANNON WALL is a Medical licensed to practice in Louisiana. The address on file for MANGUN SHANNON WALL is 4610 MARQUETTE, MANDEVILLE, LA 70471.

Louisiana

Board of Licensing

MANGUN SHANNON WALL
Medical
License number
OTT.Z10405
Date expires
09/30/2015
Class
Medical
Status
Active
Address
4610 MARQUETTE, MANDEVILLE, LA 70471
louisianalicensing.com
ID 21995095
LAST UPDATED 2024-02-28 09:50:58 UTC

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