KALIN DANIAL LISTER

BOISE, ID
NPI1033935093
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  9871643)
Enumeration Date2024-11-25
Last Update Date2025-03-05
Business Address
KALIN DANIAL LISTER Student
8971 W OVERLAND RD
BOISE, ID 83709-1651
Phone number: 208-378-4288
Mailing Address
KALIN DANIAL LISTER Student
227 SUNRISE RIM RD
NAMPA, ID 83686-8325
Phone number: 208-912-3307
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