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1104044312
RONALD LYNN CHAMPION
MODESTO, CA
NPI
1104044312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 23489)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Dr. RONALD LYNN CHAMPION D.D.S.
4101 TULLY RD STE 401
MODESTO, CA 95356-8982
Phone number: 209-575-5888
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Mailing Address
Dr. RONALD LYNN CHAMPION D.D.S.
4101 TULLY RD STE 401
MODESTO, CA 95356-8982
Phone number: 209-575-5888
Copy
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