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1225339534
BEAU TRAVIS CHAMPION
RIVERSIDE, CA
NPI
1225339534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-11-03
Last Update Date
2017-11-28
Business Address
Mr. BEAU TRAVIS CHAMPION MSW
3877 12TH ST
RIVERSIDE, CA 92501-3578
Phone number: 951-247-6064
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Mailing Address
Mr. BEAU TRAVIS CHAMPION MSW
3877 12TH ST
RIVERSIDE, CA 92501-3578
Phone number: 951-247-6064
Copy
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