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1952750879
EMMELYNN ROSE KING
COLTON, CA
NPI
1952750879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 53932)
Enumeration Date
2016-06-10
Last Update Date
2016-11-08
Business Address
-- EMMELYNN ROSE KING
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-2178
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Mailing Address
-- EMMELYNN ROSE KING
11217 SAN JUAN ST
LOMA LINDA, CA 92354-3215
Phone number: 530-400-7704
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