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Individual

GLORIA JEAN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
707 BARKLEY BLVD, ALBANY, GA 31705-1207
(229) 344-2846
Mailing address
PO BOX 6121, ALBANY, GA 31706-6121
(229) 344-2846

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
11/13/2019
Last updated
11/13/2019
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