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1477095883
CARLOS CHACON
BOAZ, AL
NPI
1477095883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1131572)
Enumeration Date
2016-11-16
Last Update Date
2018-03-17
Business Address
CARLOS CHACON CRNP
2986 US HIGHWAY 431
BOAZ, AL 35957-5848
Phone number: 256-840-8181
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Mailing Address
CARLOS CHACON CRNP
PO BOX 697
BOAZ, AL 35957-0697
Phone number: 256-840-8181
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