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Individual
MR. JIMMIE F. KING
Active
Individual
MR. JIMMIE F. KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1522138
OK
171M00000X
Case Manager/Care Coordinator
—
OK
246ZS0410X
Surgical Technologist
104774
OK
Other
Enumeration date
11/08/2013
Last updated
11/22/2024
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