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Individual

PAUL A MANSFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O.,C.PED.

Contact information

Practice address
2419 LEWISVILLE CLEMMONS RD, SUITE 1, CLEMMONS, NC 27012-8976
(336) 712-4750
(336) 712-1056
Mailing address
2419 LEWISVILLE CLEMMONS RD, SUITE 1, CLEMMONS, NC 27012-8976
(336) 712-4750
(336) 712-1056

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795237
NC
Enumeration date
06/19/2007
Last updated
09/11/2025
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