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1194325746
KORETTA A KING
GREENSBORO, NC
NPI
1194325746
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Former Name
KORETTA KING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NC 90647)
Enumeration Date
2020-10-31
Last Update Date
2020-10-31
Business Address
KORETTA A KING
152 QUEENSBERRY CT
GREENSBORO, NC 27405-4899
Phone number: 336-254-3867
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Mailing Address
KORETTA A KING
152 QUEENSBERRY CT
GREENSBORO, NC 27405-4899
Phone number: 336-254-3867
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