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1164983607
KRISTIE L EDMISTEN
GREENSBORO, NC
NPI
1164983607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-08969)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
KRISTIE L EDMISTEN PA
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408-7602
Phone number: 336-545-5000
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Mailing Address
KRISTIE L EDMISTEN PA
3200 NORTHLINE AVE STE 200
GREENSBORO, NC 27408-7602
Phone number: 336-545-5000
Copy
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