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1588372148
CODY LEE KING
FLORENCE, SC
NPI
1588372148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: 213124)
Enumeration Date
2022-11-11
Last Update Date
2023-06-18
Business Address
CODY LEE KING CSFA
805 PAMPLICO HWY
FLORENCE, SC 29505-6047
Phone number: 843-674-1209
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Mailing Address
CODY LEE KING CSFA
107 PROVIDENCE RD
LAMAR, SC 29069-8630
Phone number:
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