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1104155605
LISA JENNIFER KING
MANSFIELD, OH
NPI
1104155605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OH COA.11067-NP)
Enumeration Date
2009-12-11
Last Update Date
2016-03-08
Business Address
Mrs. LISA JENNIFER KING CRNP
70 MADISON RD
MANSFIELD, OH 44905-2831
Phone number: 419-589-9700
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Mailing Address
Mrs. LISA JENNIFER KING CRNP
1025 S TRIMBLE RD
MANSFIELD, OH 44906-3427
Phone number: 419-589-9700
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