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Individual

MRS. CHANTAL KOHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1917 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4642
(308) 398-0350
(308) 398-0351
Mailing address
1917 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4642
(308) 398-0350
(308) 398-0351

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
11/25/2020
Last updated
11/25/2020
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