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1952743973
MISTY DAWN KING
MOUNT VERNON, IL
NPI
1952743973
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Former Name
MISTY DAWN BOZARTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: IL 041305914)
Enumeration Date
2013-07-18
Last Update Date
2013-07-18
Business Address
-- MISTY DAWN KING RN
2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-5924
Phone number: 618-731-6560
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Mailing Address
-- MISTY DAWN KING RN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2401
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