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1114550944
CHELSEY M CLARK
DECATUR, IL
NPI
1114550944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209.020885)
Enumeration Date
2020-02-20
Last Update Date
2020-02-20
Business Address
CHELSEY M CLARK DNP, CRNA
2300 N EDWARD ST
DECATUR, IL 62526-4163
Phone number: 217-876-8121
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Mailing Address
CHELSEY M CLARK DNP, CRNA
2300 N EDWARD ST
DECATUR, IL 62526-4192
Phone number: 217-876-8121
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