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1225550734
CHANTELLE ELIZABETH ROBERTS
KENNEWICK, WA
NPI
1225550734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-07-17
Last Update Date
2022-07-21
Business Address
Mrs. CHANTELLE ELIZABETH ROBERTS
2618 S LYLE ST
KENNEWICK, WA 99337-7821
Phone number: 505-860-1359
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Mailing Address
Mrs. CHANTELLE ELIZABETH ROBERTS
2618 S LYLE ST
KENNEWICK, WA 99337-7821
Phone number: 505-860-1359
Copy
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