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Individual

MS. MARJORIE ANN KING

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PHD, ATC, PT

Contact information

Practice address
17 HIGH ST, MSC 22 PLYMOUTH STATE UNIVERSITY, PLYMOUTH, NH 03264-1595
(603) 535-3108
Mailing address
PO BOX 248, PLYMOUTH, NH 03264-0248
(603) 535-3108

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
250
NH

Other

Enumeration date
02/03/2006
Last updated
07/08/2007
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