KIM L. WIST

WEST ISLIP, NY
NPI1114046893
Other NameKIM L. WIST-MANGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: NY  x006556)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
Dr. KIM L. WIST D.C.
125 SUNRISE HWY
WEST ISLIP, NY 11795-2009
Phone number: 631-422-0424
Mailing Address
Dr. KIM L. WIST D.C.
1331 WAVERLY AVE
FARMINGVILLE, NY 11738-1354
Phone number: 631-736-8439
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