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1679742258
CHRISTINA MORAN KITCHEN
JACKSON, WY
NPI
1679742258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 24423.0895)
Enumeration Date
2008-02-27
Last Update Date
2015-04-14
Business Address
-- CHRISTINA MORAN KITCHEN FNP
555 E BROADWAY AVE SUITE 108
JACKSON, WY 83001-8640
Phone number: 307-734-1005
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Mailing Address
-- CHRISTINA MORAN KITCHEN FNP
PO BOX 3306
IDAHO FALLS, ID 83403-3306
Phone number: 307-734-1201
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