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Individual

WILLIAM DAYTON KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
921 LAKE LAND BLVD, MATTOON, IL 61938-5521
(217) 235-3100
(217) 235-3166
Mailing address
921 LAKE LAND BLVD, MATTOON, IL 61938-5521
(217) 235-3100
(217) 235-3166

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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