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1235749003
JASON DAVID KING
WISCONSIN RAPIDS, WI
NPI
1235749003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WG0000X Registered Nurse General Practice
(Licence: WI 246238-50)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
JASON DAVID KING RN
3121 3RD ST S
WISCONSIN RAPIDS, WI 54494-1008
Phone number: 715-697-8140
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Mailing Address
JASON DAVID KING RN
3121 3RD ST S
WISCONSIN RAPIDS, WI 54494-1008
Phone number: 715-697-8140
Copy
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