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1902114960
GLEN KING
JACKSONVILLE, FL
NPI
1902114960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2010-09-23
Last Update Date
2010-09-23
Business Address
-- GLEN KING
BLDG H. 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212-0140
Phone number: 843-228-7068
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Mailing Address
-- GLEN KING
31 PARK CIR
BLUFFTON, SC 29910-8011
Phone number:
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