Provider Information for 1710277280
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Mr. IAN S CHARNLEY PLMHP
Sex: Male
NPI: 1710277280
Last Updated: 2011-04-18
Certification Date:
Certification Date:
Details
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NPI | 1710277280 | ||||||||||||
Enumeration Date | 2011-04-18 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 2444 O ST LINCOLN, NE 68510-1125 United States Phone: 402-475-7666 | Fax:402-476-9623 | ||||||||||||
Primary Practice Address | 2444 O ST LINCOLN, NE 68510-1125 United States Phone: 402-475-7666 | Fax:402-476-9623 | ||||||||||||
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