CARRIE IDAMAE BISTLINE

ST GEORGE, UT
NPI1205565173
Former NameCARRIE IDAMAE PIPKIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-06-07
Last Update Date2022-06-07
Business Address
CARRIE IDAMAE BISTLINE
474 W 200 N # 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
Mailing Address
CARRIE IDAMAE BISTLINE
474 W 200 N # 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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