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1497854517
KRISTY DIVELBLISS
MARTINSBURG, WV
NPI
1497854517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01216)
Enumeration Date
2006-09-22
Last Update Date
2019-10-18
Business Address
KRISTY DIVELBLISS PA-C
99 TAVERN RD
MARTINSBURG, WV 25401-2890
Phone number: 304-263-4999
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Mailing Address
KRISTY DIVELBLISS PA-C
PO BOX 1146
MARTINSBURG, WV 25402-1146
Phone number: 304-263-4999
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