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Individual

JO ANNE CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
20 N DEWITT AVE, CLOVIS, CA 93612-0311
(559) 299-2578
(559) 299-0245
Mailing address
12237 GABOR WAY, MADERA, CA 93638-8517
(559) 645-0733

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD619370
CA

Other

Enumeration date
02/08/2007
Last updated
07/08/2007
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