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1548894454
KRISTEN AMANDA ETTLIN
COLUMBIA, MO
NPI
1548894454
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Former Name
KRISTEN AMANDA FISHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2021001164)
Enumeration Date
2020-02-29
Last Update Date
2023-09-18
Business Address
Mrs. KRISTEN AMANDA ETTLIN PA-C
HARRY S. TRUMAN MEMORIAL VETERANS HOSPITAL 800 HOSPITAL DRIVE
COLUMBIA, MO 65201
Phone number: 573-814-6565
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Mailing Address
Mrs. KRISTEN AMANDA ETTLIN PA-C
4140 HIGHWAY 54
FULTON, MO 65251-3848
Phone number: 573-544-7907
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