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Individual
MR. EVAN KING
Active
Individual
MR. EVAN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN234991
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN234991
REGISTERED NURSE
GA
Enumeration date
08/01/2017
Last updated
07/21/2022
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