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1659578524
DONOVAN KING
JAMAICA, NY
NPI
1659578524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011682)
Enumeration Date
2007-07-02
Last Update Date
2007-07-08
Business Address
-- DONOVAN KING PA
8900 VAN WYCK EXPY EMERGENCY DEPARTMENT
JAMAICA, NY 11418-2897
Phone number: 718-206-6058
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Mailing Address
-- DONOVAN KING PA
80 MARCUS DR PROVIDER ENROLLMENT DEPARTMENT
MELVILLE, NY 11747-4230
Phone number: 631-391-7889
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