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1235618133
COLLEEN RUTH CHAMPION
SAN ANTONIO, TX
NPI
1235618133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2355S0801X Specialist/Technologist Speech-Language Assistant
(Licence: 34859)
Enumeration Date
2018-08-10
Last Update Date
2018-08-10
Business Address
COLLEEN RUTH CHAMPION
7126 AZALEA SQ
SAN ANTONIO, TX 78218-3111
Phone number: 501-554-0854
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Mailing Address
COLLEEN RUTH CHAMPION
7126 AZALEA SQ
SAN ANTONIO, TX 78218-3111
Phone number: 501-554-0854
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