DARRYL DESHAWN CHAMPION

LEBANON, TN
NPI1255650867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246Z00000X Specialist/Technologist, Other
Additional Taxonomies247100000X Radiologic Technologist
Enumeration Date2010-05-21
Last Update Date2010-05-21
Business Address
Mr. DARRYL DESHAWN CHAMPION MDX
444 LEALAND LANE
LEBANON, TN 37087
Phone number: 615-554-7401
Mailing Address
Mr. DARRYL DESHAWN CHAMPION MDX
444 LEALAND LANE
LEBANON, TN 37087
Phone number: 615-554-7401
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