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1801601679
KALISTA RAYNE FARRIS
SCOTTSBLUFF, NE
NPI
1801601679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2025-02-10
Last Update Date
2025-02-10
Business Address
KALISTA RAYNE FARRIS
1618 19TH AVE
SCOTTSBLUFF, NE 69361-2738
Phone number: 308-632-8016
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Mailing Address
KALISTA RAYNE FARRIS
PO BOX 1327
SCOTTSBLUFF, NE 69363-1327
Phone number: 308-632-8016
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