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Individual
ELISABETH GAYLE KINGHORN
Active
Individual
ELISABETH GAYLE KINGHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA-693
ID
Other
Enumeration date
06/11/2008
Last updated
11/10/2020
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