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1184115735
CRYSTA KIMES
FRUITLAND, ID
NPI
1184115735
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Former Name
CRYSTA KIMES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
Enumeration Date
2018-05-18
Last Update Date
2018-05-18
Business Address
MRS. CRYSTA KIMES PA
910 NW 16TH ST STE 101
FRUITLAND, ID 83619-2265
Phone number: 208-452-8000
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Mailing Address
MRS. CRYSTA KIMES PA
18616 EASTER PEAK AVE
NAMPA, ID 83687-8115
Phone number: 208-850-9300
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