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1417916321
TIMOTHY LEE CHANCELLOR
CHADRON, NE
NPI
1417916321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NE 1051)
Additional Taxonomies
152W00000X Optometrist
(Licence: SD 621)
Enumeration Date
2006-03-20
Last Update Date
2024-01-12
Business Address
Mr. TIMOTHY LEE CHANCELLOR OD
241 E 3RD ST
CHADRON, NE 69337-2301
Phone number: 308-432-3222
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Mailing Address
Mr. TIMOTHY LEE CHANCELLOR OD
241 E 3RD ST
CHADRON, NE 69337-2301
Phone number: 308-432-3222
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