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Individual

CYNTHIA CHISM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 W. HOSPITAL WAY, WHITERIVER, AZ 85941
(928) 338-3684
Mailing address
PO BOX 80039, CIBECUE HEALTH CENTER, CIBECUE, AZ 85911

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R20022
AR

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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