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1851053862
VICKY CHAVIS
GLENDALE, AZ
NPI
1851053862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP053821)
Enumeration Date
2021-10-07
Last Update Date
2023-04-16
Business Address
VICKY CHAVIS LPN CWCA CLT
4494 W PEORIA AVE STE 115A
GLENDALE, AZ 85302-2020
Phone number: 314-440-7583
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Mailing Address
VICKY CHAVIS LPN CWCA CLT
6968 W PALO VERDE DR
GLENDALE, AZ 85303-4405
Phone number: 314-440-7583
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