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Individual
CHARLIE JORDAN CHANEY
Active
Individual
CHARLIE JORDAN CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
LE-0000160
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022914
—
DE
Enumeration date
02/02/2007
Last updated
07/09/2007
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