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1932371093
JEREMY MALCOLM KING
BATON ROUGE, LA
NPI
1932371093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA S502)
Enumeration Date
2008-03-29
Last Update Date
2008-03-29
Business Address
Dr. JEREMY MALCOLM KING DMD
4005 NICHOLSON DR APT #2613
BATON ROUGE, LA 70808-8402
Phone number: 303-815-7896
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Mailing Address
Dr. JEREMY MALCOLM KING DMD
4005 NICHOLSON DR APT #2613
BATON ROUGE, LA 70808-8402
Phone number: 303-815-7896
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