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Individual
MRS. PRUDENCE E KING
Active
Individual
MRS. PRUDENCE E KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
460538-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308430
NY
Other
Enumeration date
12/29/2008
Last updated
07/03/2023
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