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Individual
CHAKINA BRUNSON
Active
Individual
CHAKINA BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041356343
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209011327
IL
Other
Enumeration date
12/18/2013
Last updated
03/18/2016
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