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1558618207
ROMIE JOSEPH DESCHAMPS
PALMER, AK
NPI
1558618207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
305R00000X Preferred Provider Organization
(Licence: AK 475)
Enumeration Date
2012-08-13
Last Update Date
2012-08-13
Business Address
Mr. ROMIE JOSEPH DESCHAMPS Rph
15271 E OUTER SPRINGER LOOP RD
PALMER, AK 99645-9068
Phone number: 907-745-2299
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Mailing Address
Mr. ROMIE JOSEPH DESCHAMPS Rph
15271 E OUTER SPRINGER LOOP RD
PALMER, AK 99645-9068
Phone number: 907-745-2299
Copy