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1255573846
JAMIE ELIZABETH CHAMPION
BLOOMINGTON, IL
NPI
1255573846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-03-30
Last Update Date
2009-03-30
Business Address
-- JAMIE ELIZABETH CHAMPION
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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Mailing Address
-- JAMIE ELIZABETH CHAMPION
1313 TOWNLEY DR
BLOOMINGTON, IL 61704-1324
Phone number: 309-662-5544
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