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1053712760
SIDNEY CHAMPAGNE
NEW IBERIA, LA
NPI
1053712760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 11566)
Enumeration Date
2014-09-12
Last Update Date
2014-09-12
Business Address
-- SIDNEY CHAMPAGNE rph
106 CANDLEGLOW DR
NEW IBERIA, LA 70563-0912
Phone number: 337-560-1096
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Mailing Address
-- SIDNEY CHAMPAGNE rph
900 E ADMIRAL DOYLE DR
NEW IBERIA, LA 70560-6709
Phone number: 337-367-2291
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