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Individual

DR. SAMUEL RAY MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
5419 JACKSON STREET EXT, SUITE B, ALEXANDRIA, LA 71303-2322
(318) 787-2708
(318) 787-2716
Mailing address
PO BOX 12144, ALEXANDRIA, LA 71315-2144
(318) 787-2708
(318) 787-2716

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1607
LA

Other

Enumeration date
05/02/2011
Last updated
06/03/2011
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