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Organization

VIVIAN D CHANCE ARNP LLC

Active
Other names
Audubon Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
VIVIAN D CHANCE A.R.N.P. (OWNER/SOLE MEMBER)
(712) 563-4206
Entity
Organization

Contact information

Practice address
222 BROADWAY ST, AUDUBON, IA 50025-1103
(712) 563-4206
Mailing address
222 BROADWAY ST, AUDUBON, IA 50025-1103
(712) 563-4206

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A078156
IA

Other

Enumeration date
05/28/2014
Last updated
05/28/2014
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