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Individual

CHASADY L FREEZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1039 HASKINS RD, SUITE A, BOWLING GREEN, OH 43402-9065
(419) 352-1121
(419) 352-1179
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1637
(419) 353-7069
(419) 353-7076

Taxonomy

Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
COA.13674-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0076970
OH
Enumeration date
10/30/2012
Last updated
06/15/2022
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