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1174023352
JONATHAN BRICE KING
TYLER, TX
NPI
1174023352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP136612)
Enumeration Date
2018-02-14
Last Update Date
2019-07-18
Business Address
JONATHAN BRICE KING NP
721 CLINIC DR # A
TYLER, TX 75701-2043
Phone number: 903-592-6152
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Mailing Address
JONATHAN BRICE KING NP
PO BOX 731912
DALLAS, TX 75373-1912
Phone number: 903-877-7635
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