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Individual

MICHELLE L CHACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3131 W DURANGO ST, PHOENIX, AZ 85009-6217
(602) 506-4218
Mailing address
532 W RAWHIDE AVE, GILBERT, AZ 85233-6339
(480) 540-7324

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNP225440
AZ

Other

Enumeration date
06/01/2019
Last updated
06/01/2019
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