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1811217722
KERA TI VONDA KING
CAMPTON, KY
NPI
1811217722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-06-03
Last Update Date
2011-11-07
Business Address
-- KERA TI VONDA KING
129 KY 15 N
CAMPTON, KY 41301
Phone number: 606-668-7420
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Mailing Address
-- KERA TI VONDA KING
115 ROCKWOOD LN
HAZARD, KY 41701-9415
Phone number: 606-436-5761
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