Individual
MS. MARY SUE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8989 HURON ST, THORNTON, CO 80260-6858
(303) 853-3522
Mailing address
3706 E 124TH AVE, THORNTON, CO 80241-3531
(303) 255-0999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36294
CO
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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