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Individual

JO ANN KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
9 DAUPHIN ST, STE 101, MOBILE, AL 36602-3705
(251) 438-1153
(251) 433-9829
Mailing address
9 DAUPHIN ST, STE 101, MOBILE, AL 36602-3705
(251) 438-1153
(251) 433-9829

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-534-TA-272
AL
152W00000X
Optometrist
S534-TA272
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1740387158
NPI
AL
Enumeration date
09/20/2006
Last updated
01/26/2021
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