KARI LYNN PROVOST

VICTORVILLE, CA
NPI1376892521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA22507)
Enumeration Date2012-09-04
Last Update Date2018-07-30
Business Address
KARI LYNN PROVOST P.A.
12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395
Phone number: 760-881-3377
Mailing Address
KARI LYNN PROVOST P.A.
12595 HESPERIA RD STE 101
VICTORVILLE, CA 92395-5882
Phone number: 760-881-3377
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