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Individual

KRISTINA JANE NYE BOWDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
738 N COLLEGE RD STE A, TWIN FALLS, ID 83301-3386
(208) 814-7000
Mailing address
1452 BENCH RD, POCATELLO, ID 83201-2402
(208) 320-6450

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/20/2020
Last updated
07/20/2020
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