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1013515857
CRYSTAL NICOLE CHANCELLOR
LITTLE ROCK, AR
NPI
1013515857
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AR 212540)
Enumeration Date
2020-10-14
Last Update Date
2023-11-02
Business Address
CRYSTAL NICOLE CHANCELLOR APRN
2200 S BOWMAN RD
LITTLE ROCK, AR 72211-4136
Phone number: 870-828-1022
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Mailing Address
CRYSTAL NICOLE CHANCELLOR APRN
212 MOUNTAIN VIEW RD
GLENWOOD, AR 71943-9183
Phone number: 870-828-1022
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