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1417104381
SARA CHAMPION
MEDFORD, OR
NPI
1417104381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 13297)
Enumeration Date
2008-08-22
Last Update Date
2008-08-22
Business Address
-- SARA CHAMPION LMT
3581 LEAR WAY
MEDFORD, OR 97504-9759
Phone number: 541-261-7017
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Mailing Address
-- SARA CHAMPION LMT
885 VALLEY VIEW DR UNIT C
MEDFORD, OR 97504-3310
Phone number: 541-261-7017
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