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Individual

NICOLE R KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DN

Contact information

Practice address
765 ELA RD, SUITE 105, LAKE ZURICH, IL 60047-2385
(847) 550-1115
Mailing address
21584 W SWAN CT, KILDEER, IL 60047-7211
(847) 224-7024

Taxonomy

Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
181.000363
IL

Other

Enumeration date
02/22/2010
Last updated
11/08/2010
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