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Individual
KRISTI JAYNE KING
Active
Individual
KRISTI JAYNE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP13200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP13200
MED LICENSE
CA
Enumeration date
07/24/2006
Last updated
12/30/2015
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