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Individual

CHELIMO CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3070 11TH AVENUE DR SE, HICKORY, NC 28602-8336
(828) 695-5778
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 874-0707

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9903
NC

Other

Enumeration date
08/03/2009
Last updated
09/07/2016
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