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Individual

JENNIFER LYNN KING

Active
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Individual

JENNIFER LYNN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.120878.MEDS
OH
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
RT346086
OH
347C00000X
Private Vehicle
RT346086
OH
372500000X
Chore Provider
—
—
373H00000X
Day Training/Habilitation Specialist
—
—

Other

Enumeration date
10/17/2018
Last updated
07/26/2023
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