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Individual

CHRISTIE KYTONEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5458
Mailing address
1114 N ST, LEWISTON, ID 83501-2970
(208) 305-5976

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
51620
ID
164W00000X
Licensed Practical Nurse
LP60869543
WA

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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