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1487004461
KELLIE ANN CHACANACA
ROGERS, AR
NPI
1487004461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A004753)
Enumeration Date
2016-06-21
Last Update Date
2026-06-02
Business Address
KELLIE ANN CHACANACA APRN
2708 S RIFE MEDICAL LN STE 300
ROGERS, AR 72758-1457
Phone number: 479-338-3030
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Mailing Address
KELLIE ANN CHACANACA APRN
2708 S RIFE MEDICAL LN STE 300
ROGERS, AR 72758-1457
Phone number: 479-338-3030
Copy
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