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Individual

MRS. KATHLEEN MARGARET CHAMBERLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, CDE

Contact information

Practice address
200 WEST HOSPITAL DRIVE, WHITERIVER, AZ 85941
(928) 338-4911
(928) 338-3522
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-3522

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1610272
FL
163WD0400X
Diabetes Educator Registered Nurse
Primary
CDE 2091-0069
IL

Other

Enumeration date
09/11/2009
Last updated
09/11/2009
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