Chelcia Ann Staple

NPI #1104518794 in Marion, Illinois

Provider Information

NPI Number
1104518794
Entity Type
Individual
Name
Chelcia Ann Staple
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
May 23, 2023
Last Updated
May 23, 2023

Practice Location

Address
2401 W MAIN ST
City
Marion
ZIP Code
62959-1188
Phone
(618) 993-7734

Specialties & Taxonomy Codes

Specialty
Technician, Other

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