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1295120962
AMANDA KISTLER
LOUISVILLE, KY
NPI
1295120962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
-- AMANDA KISTLER MD
550 S JACKSON ST
LOUISVILLE, KY 40202-1622
Phone number: 502-852-6191
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Mailing Address
-- AMANDA KISTLER MD
1330 TAIT RD SW
WARREN, OH 44481-8655
Phone number: 330-978-4644
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