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Individual

MR. JOHN BRADFORD KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.P.F.

Contact information

Practice address
2521 NOBLIN RD, RALEIGH, NC 27604-2415
(919) 878-7183
(919) 878-7151
Mailing address
2521 NOBLIN RD, RALEIGH, NC 27604-2415
(919) 878-7183
(919) 878-7151

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C36308
NC

Other

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