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1164018537
EVAN KING
JEFFERSON, LA
NPI
1164018537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 325163)
Enumeration Date
2020-12-18
Last Update Date
2020-12-18
Business Address
EVAN KING PA-C
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 866-624-7637
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Mailing Address
EVAN KING PA-C
2421 DAUPHINE ST UNIT B
NEW ORLEANS, LA 70117-7801
Phone number: 443-841-5996
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