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Individual

MISS ANDREA LYNN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3356
Mailing address
9783 COBBLEWOOD CT, CENTERVILLE, OH 45458-6100
(937) 436-2181

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003851
OH

Other

Enumeration date
09/10/2013
Last updated
09/15/2013
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