DUSTIN LARUE KING

JACKSON, MS
NPI1669779021
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R875042)
Enumeration Date2011-02-22
Last Update Date2012-06-15
Business Address
-- DUSTIN LARUE KING CPNP-AC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-8151
Mailing Address
-- DUSTIN LARUE KING CPNP-AC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-8151
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