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Individual

MRS. CHAY SHALISE NERSESIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, ATC, LAT, CES

Contact information

Practice address
301 RIVERCREST BLVD, ALLEN, TX 75002-2100
(972) 727-4037
(972) 727-7103
Mailing address
301 RIVERCREST BLVD, ALLEN, TX 75002-2100
(972) 727-4037
(972) 727-7103

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
AT2625
TX
2255A2300X
Athletic Trainer
Primary
AT2625
TX

Other

Enumeration date
10/14/2020
Last updated
04/18/2022
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