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1073257879
CHANELLE C DURAND
FAYETTEVILLE, AR
NPI
1073257879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
CHANELLE C DURAND MD
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1908
Phone number: 479-521-8260
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Mailing Address
CHANELLE C DURAND MD
1210 WOODBRIDGE COMMONS WAY
ISELIN, NJ 08830-3028
Phone number: 717-719-9858
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