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1477383032
CHADD DANIEL HARKEY
BRIDGETON, MO
NPI
1477383032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2024030417)
Enumeration Date
2024-08-07
Last Update Date
2024-10-09
Business Address
CHADD DANIEL HARKEY
3550 MCKELVEY RD
BRIDGETON, MO 63044-2527
Phone number: 314-741-0911
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Mailing Address
CHADD DANIEL HARKEY
4837 S STATE ROUTE 159
GLEN CARBON, IL 62034-1905
Phone number: 618-581-8883
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