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Individual
SALLY TRABERT CHANEY
Active
Individual
SALLY TRABERT CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BE477
PTAN
CA
Enumeration date
06/13/2005
Last updated
11/06/2014
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