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1568190494
CARLY CHANDLER
CHAMPAIGN, IL
NPI
1568190494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-08-09
Last Update Date
2022-11-23
Business Address
CARLY CHANDLER
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-1200
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Mailing Address
CARLY CHANDLER
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1248
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