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Individual

AUGUST DANIEL KING JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12330 ROSSLARE RIDGE RD, 407, LUTHERVILLE, MD 21093-8236
(443) 465-1847
Mailing address
12330 ROSSLARE RIDGE RD, 407, LUTHERVILLE, MD 21093-8236
(443) 465-1847

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DO6023
MD

Other

Enumeration date
03/29/2016
Last updated
03/29/2016
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