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Individual

DEBORAH ANN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33556
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32344400
WI
05
596502100
MN
Enumeration date
07/10/2006
Last updated
05/10/2011
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