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1134850779
ROBERTA CHAMPOUILLON
ALBUQUERQUE, NM
NPI
1134850779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NM 68592)
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
ROBERTA CHAMPOUILLON NP
5310 HOMESTEAD RD NE BLDG 4
ALBUQUERQUE, NM 87110-1524
Phone number: 505-256-3648
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Mailing Address
ROBERTA CHAMPOUILLON NP
4101 CENTRAL AVE NE APT 3005
ALBUQUERQUE, NM 87108-1961
Phone number: 423-483-4310
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