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1215038856
COLEY M KING
VENICE, CA
NPI
1215038856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A7544)
Enumeration Date
2006-09-26
Last Update Date
2021-02-12
Business Address
COLEY M KING D.O.
604 ROSSE AVE.
VENICE, CA 90291
Phone number: 310-392-8630
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Mailing Address
COLEY M KING D.O.
604 ROSSE AVE.
VENICE, CA 90291
Phone number:
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