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1649560038
KRISTIN LYNN DIETIKER
COLUMBIA, MO
NPI
1649560038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MO 2014008188)
Enumeration Date
2011-04-19
Last Update Date
2016-08-06
Business Address
-- KRISTIN LYNN DIETIKER M.D.
303 N. KEENE ST. SUITE 404
COLUMBIA, MO 65201
Phone number: 573-777-7627
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Mailing Address
-- KRISTIN LYNN DIETIKER M.D.
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-820-2000
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