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1992362131
REBECCA CHANTELOIS
FORT WAYNE, IN
NPI
1992362131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IN 71009085A)
Enumeration Date
2019-05-23
Last Update Date
2023-10-30
Business Address
REBECCA CHANTELOIS NP
8233 GLENCARIN BLVD
FORT WAYNE, IN 46804-5784
Phone number: 260-425-5470
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Mailing Address
REBECCA CHANTELOIS NP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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