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1982667804
ROBERT LEE KING
MAYPORT, FL
NPI
1982667804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-04-11
Last Update Date
2007-07-08
Business Address
-- ROBERT LEE KING IDC
NAVAL BRANCH HEALTH CLINIC 2104 MASSEY AVENUE,
MAYPORT, FL 32228
Phone number: 904-270-4241
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Mailing Address
-- ROBERT LEE KING IDC
12955 CANYON CREEK TRL S
JACKSONVILLE, FL 32246-6652
Phone number: 904-992-9095
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