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Individual

MISS CECELIA RENAE CHAPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4801 BECKNER RD, SANTA FE, NM 87507-3641
(260) 580-8948
(260) 580-8948
Mailing address
5200 BECKNER RD UNIT 5307, SANTA FE, NM 87507-6419
(260) 580-8948
(260) 580-8948

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0086
NM

Other

Enumeration date
08/13/2024
Last updated
08/13/2024
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