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1265425797
PENNY L CHAMPION
ALBANY, GA
NPI
1265425797
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Former Name
PENNY L BOZEMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: GA R079412)
Enumeration Date
2005-08-30
Last Update Date
2016-12-09
Business Address
-- PENNY L CHAMPION CNM
414 5TH AVE
ALBANY, GA 31701-1976
Phone number: 229-883-4555
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Mailing Address
-- PENNY L CHAMPION CNM
414 FIFTH AVENUE
ALBANY, GA 31701
Phone number: 229-883-4555
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