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1114163466
LAURA R CHANCELLOR
SAN ANGELO, TX
NPI
1114163466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA06005)
Enumeration Date
2008-12-16
Last Update Date
2024-05-30
Business Address
LAURA R CHANCELLOR PA
1610 S CHADBOURNE ST
SAN ANGELO, TX 76903-8510
Phone number: 325-658-5339
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Mailing Address
LAURA R CHANCELLOR PA
PO BOX 22000
SAN ANGELO, TX 76902-7200
Phone number: 325-481-2104
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