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Donald Kaylor Chille

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NPI Number Detailed Information

Provider Information:

Name: Donald Kaylor Chille
Gender: M
Provider License Number If Given: PT013520L

NPI Information:

NPI: 1255326799
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 300 E PLANK RD
Altoona, PA 16602
Phone Number: 8149417708
Fax Number: 8149417715

Provider Business Practice Location Address:

Address: 3200 FAIRWAY DR
Altoona, PA 16602
Phone Number: 8149449412
Fax Number: 8149442503

Provider Taxonomy:

Primary: 225100000X
Secondary (if any):
State: PA

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