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Individual

MRS. LIBIA CHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3800 S NATIONAL AVE FL 4, SPRINGFIELD, MO 65807-5209
(417) 875-3275
(417) 875-3295
Mailing address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3022
(417) 875-3019

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2006000539
MO

Other

Enumeration date
09/20/2006
Last updated
11/16/2009
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