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1245073501
LISA DEANN KING
JASPER, AL
NPI
1245073501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-140523)
Enumeration Date
2024-06-14
Last Update Date
2024-06-18
Business Address
LISA DEANN KING CRNP
2708 HIGHWAY 78 E
JASPER, AL 35501-3430
Phone number: 205-387-2253
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Mailing Address
LISA DEANN KING CRNP
2103 PAWNEE CIR
JASPER, AL 35504-9331
Phone number: 205-544-8073
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