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Individual

DEBORAH ANN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
14298 W US HIGHWAY 54, MACKS CREEK, MO 65786-6730
(573) 363-5304
(573) 363-5512
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013023214
MO

Other

Enumeration date
07/09/2013
Last updated
07/09/2013
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