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Individual

CHELSEA D VANAUSDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPSS

Contact information

Practice address
265 N STATE ST, MOUNT PLEASANT, UT 84647-1108
(435) 262-7049
Mailing address
PO BOX 215, MOUNT PLEASANT, UT 84647-0215
(435) 262-7049

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1809
UT

Other

Enumeration date
10/12/2023
Last updated
10/12/2023
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