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1083346928
KASANDRA JO KISTER
POCATELLO, ID
NPI
1083346928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-06-29
Last Update Date
2024-09-03
Business Address
MS. KASANDRA JO KISTER PA-C
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
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Mailing Address
MS. KASANDRA JO KISTER PA-C
3850 TURQUOISE DR
RIVERTON, WY 82501-6324
Phone number: 307-851-8100
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