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1073811931
DPMKINGPRNJ LLC
LAKEWOOD, NJ
NPI
1073811931
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Entity Type
Organization
Authorized Contact
JOHN KING
Owner
216-401-7285
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: PA 25MD00294000)
Enumeration Date
2011-03-02
Last Update Date
2011-03-02
Business Address
DPMKINGPRNJ LLC
1195 HIGHWAY 70 SUITE 12
LAKEWOOD, NJ 08701-5946
Phone number: 732-905-7818
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Mailing Address
DPMKINGPRNJ LLC
6 MOUNTAIN TRL
VERNON, NJ 07462-3012
Phone number: 216-401-7285
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