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1265654180
KRISTI KRISTINE ICE
PHOENIX, AZ
NPI
1265654180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AZ 3098)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- KRISTI KRISTINE ICE PA-C
3933 EAST EDNA SUITE 102
PHOENIX, AZ 85032
Phone number: 602-569-5437
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Mailing Address
-- KRISTI KRISTINE ICE PA-C
4605 SOUTH PRIEST DRIVE LOT 291
TEMPE, AZ 85282
Phone number: 480-695-0469
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