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1992288724
KABITA BISTA
FORT DRUM, NY
NPI
1992288724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-09-07
Last Update Date
2022-03-07
Business Address
KABITA BISTA
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 153-772-3386
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Mailing Address
KABITA BISTA
11050 MOUNT BELVEDERE BLVD
WATERTOWN, NY 13602-5438
Phone number: 153-772-3386
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