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1194195545
TRACY LEA KING
COLUMBUS, OH
NPI
1194195545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OH COA.18421-NP)
Enumeration Date
2015-09-29
Last Update Date
2016-04-26
Business Address
-- TRACY LEA KING CNP
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214-3908
Phone number: 614-566-5283
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Mailing Address
-- TRACY LEA KING CNP
5400 FRANTZ RD SUITE 250
DUBLIN, OH 43016-4144
Phone number: 614-544-6356
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