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1477030831
TEARA LYNN KIST
FORT CAMPBELL, KY
NPI
1477030831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN 28199171A)
Enumeration Date
2018-07-27
Last Update Date
2018-07-27
Business Address
TEARA LYNN KIST CRNA
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
TEARA LYNN KIST CRNA
2933 BREWSTER DR
CLARKSVILLE, TN 37042-8239
Phone number: 513-884-0346
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