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1699360297
TONY DEAN CHISM
JONESBORO, 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
2021-03-05
Business Address
TONY DEAN CHISM
2712 E JOHNSON AVE
JONESBORO, AR 72405-1874
Phone number: 870-932-2800
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Mailing Address
TONY DEAN CHISM
4 S HILEAH TRCE
CHEROKEE VILLAGE, AR 72529-5814
Phone number:
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