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1699360297
TONY D CHISM
HUNTSVILLE, AR
NPI
1699360297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR 214796)
Enumeration Date
2021-03-05
Last Update Date
2025-10-22
Business Address
TONY D CHISM
934 N GASKILL
HUNTSVILLE, AR 72740-1319
Phone number: 479-738-5500
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Mailing Address
TONY D CHISM
PO BOX 1060
MARSHALL, AR 72650-1060
Phone number: 870-448-5733
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