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1487004461
KELLIE ANN CHACANACA
SPRINGDALE, 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
2024-01-09
Business Address
KELLIE ANN CHACANACA APRN
5100 S THOMPSON ST STE 214
SPRINGDALE, AR 72764-6941
Phone number: 479-329-1194
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Mailing Address
KELLIE ANN CHACANACA APRN
5100 S THOMPSON ST STE 214
SPRINGDALE, AR 72764-6941
Phone number:
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