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1760753081
CRISTY L WATERS
IDAHO FALLS, ID
NPI
1760753081
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Former Name
CRISTY L BARBER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
Enumeration Date
2012-01-18
Last Update Date
2017-03-16
Business Address
CRISTY L WATERS PA-C
3500 POTOMAC WAY SUITE 100
IDAHO FALLS, ID 83404-4974
Phone number: 208-522-7666
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Mailing Address
CRISTY L WATERS PA-C
3500 POTOMAC WAY SUITE 100
IDAHO FALLS, ID 83404-4974
Phone number: 208-522-7666
Copy
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