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Individual

MS. CHANDRA ROLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1201 ELY ST, KENNETT, MO 63857
(573) 888-5925
(573) 717-7059
Mailing address
1201 ELY ST, KENNETT, MO 63857-1336
(573) 888-5925
(573) 717-7059

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
11/01/2013
Last updated
09/17/2018
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