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Individual

DR. JASON CLAY KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
117 WEST CEDAR STREET, COLUMBIA, IL 62236
(618) 281-8222
(618) 281-8223
Mailing address
1048 CODDINGTON WAY, SAINT LOUIS, MO 63132
(636) 634-0113

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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