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1871749408
JACQUELINE KING
MERIDIAN, ID
NPI
1871749408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2008-08-14
Last Update Date
2008-08-14
Business Address
-- JACQUELINE KING
3630 E LOUISE DR
MERIDIAN, ID 83642-7975
Phone number: 208-377-9515
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Mailing Address
-- JACQUELINE KING
3630 E LOUISE DR
MERIDIAN, ID 83642-7975
Phone number:
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