Provider Information for 1295490951
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CRISTY LYNN BIXLER
Sex: Female
NPI: 1295490951
Last Updated: 2021-11-07
Certification Date: 2021-11-07
Certification Date: 2021-11-07
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1295490951 | ||||||||
| Enumeration Date | 2021-11-07 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2014 VANDALIA ST COLLINSVILLE, IL 62234-4848 United States Phone: 618-345-9536 | Fax: | ||||||||
| Primary Practice Address | 2014 VANDALIA ST COLLINSVILLE, IL 62234-4848 United States Phone: 618-345-9536 | Fax: | ||||||||
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