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1467647214
JENA RAE KING
PORTAGE, MI
NPI
1467647214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704231067)
Enumeration Date
2007-09-13
Last Update Date
2022-10-13
Business Address
JENA RAE KING FNP
3300 W CENTRE AVE
PORTAGE, MI 49024-4666
Phone number: 269-324-8950
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Mailing Address
JENA RAE KING FNP
601 JOHN STREET BOX 39
KALAMAZOO, MI 49007
Phone number:
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