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Susan Chacko

NPI 1962928895 · on the registry since 2017 · sole proprietor

Practice

Address
12000 N Virginia Avenue
Oklahoma City, OK 73120
Phone
(405) 835-6757
Organisation at this address
Love Grow Live Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2017-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma