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1639509201
MISTY NICOLE CHASTAIN
ANDERSON, IN
NPI
1639509201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174H00000X Health Educator
(Licence: IN 36001344A)
Enumeration Date
2013-11-19
Last Update Date
2013-11-19
Business Address
-- MISTY NICOLE CHASTAIN LAT, ATC
1100 E 5TH ST
ANDERSON, IN 46012-3462
Phone number: 765-641-3792
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Mailing Address
-- MISTY NICOLE CHASTAIN LAT, ATC
1230 LYNNWOOD DR
ANDERSON, IN 46012-4491
Phone number: 765-425-1232
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