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Individual

LAURA C KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
4314 YOAKUM BLVD, HOUSTON, TX 77006-5818
(713) 850-0049
(713) 627-7302
Mailing address
1208 ROLLING HILLS AVE NE, BROOKHAVEN, MS 39601-9532
(601) 833-4659

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
104092
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1915
TX

Other

Enumeration date
09/27/2011
Last updated
02/24/2012
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