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Individual

KATELYN NOEL CHAMNESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 W LAKE DR, EDWARDSVILLE, IL 62025-4252
(618) 435-0334
Mailing address
1101 BELT LINE RD, COLLINSVILLE, IL 62234-4368

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051305224
IL

Other

Enumeration date
08/28/2023
Last updated
08/28/2023
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