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1336125319
BENJAMIN J KISTER
RIVERTON, WY
NPI
1336125319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WY 115T)
Enumeration Date
2005-12-21
Last Update Date
2008-04-08
Business Address
Dr. BENJAMIN J KISTER OD
400 E ADAMS AVE
RIVERTON, WY 82501-4413
Phone number: 307-856-6531
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Mailing Address
Dr. BENJAMIN J KISTER OD
PO BOX 873
RIVERTON, WY 82501-0116
Phone number: 307-856-6531
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