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Individual
MARY JOAN KING
Active
Individual
MARY JOAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN157810
TN
363LF0000X
Family Nurse Practitioner
23070
TN
363LF0000X
Family Nurse Practitioner
Primary
APN23070
TN
Other
Enumeration date
07/03/2017
Last updated
02/25/2020
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