Individual
SHAUN PAUL MANCOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16711 HONOR HWY, INTERLOCHEN, MI 49643-9667
(231) 383-3481
Mailing address
16711 HONOR HWY, INTERLOCHEN, MI 49643-9667
(231) 383-3481
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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