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Individual

CHAD G ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
550 GAGE BLVD, STE 101, RICHLAND, WA 99352-9532
(509) 946-4611

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60094648
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP60923092
WA

Other

Enumeration date
01/03/2019
Last updated
04/03/2019
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