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1609559210
SUSAN T CHACKO
CHANDLER, AZ
NPI
1609559210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ 263405)
Enumeration Date
2023-08-10
Last Update Date
2023-10-04
Business Address
SUSAN T CHACKO
5961 S GEMSTONE DR
CHANDLER, AZ 85249-5803
Phone number: 480-719-0098
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Mailing Address
SUSAN T CHACKO
5961 S GEMSTONE DR
CHANDLER, AZ 85249-5803
Phone number:
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