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1164065330
KODY LELAN CHASTAIN
FAYETTEVILLE, AR
NPI
1164065330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NR0400X Chiropractor, Rehabilitation
(Licence: AR T16233)
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
Dr. KODY LELAN CHASTAIN D.C.
1583 MAIN DR
FAYETTEVILLE, AR 72704-5214
Phone number: 479-443-0800
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Mailing Address
Dr. KODY LELAN CHASTAIN D.C.
1583 MAIN DR
FAYETTEVILLE, AR 72704-5214
Phone number: 479-443-0800
Copy
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