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1255658860
CHADWICK J SHADE
ELMENDORF AFB, AK
NPI
1255658860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: MO PSY0091)
Enumeration Date
2010-04-23
Last Update Date
2010-04-23
Business Address
DR. CHADWICK J SHADE PHD
5955 ZEAMER AVENUE 3RD MDG
ELMENDORF AFB, AK 99506
Phone number: 907-580-2181
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Mailing Address
DR. CHADWICK J SHADE PHD
5955 ZEAMER AVENUE 3RD MDG
ELMENDORF AFB, AK 99506
Phone number: 907-580-2181
Copy
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