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1568193175
CHAMPION CARE, LLC
JACKSON, MS
NPI
1568193175
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Entity Type
Organization
Authorized Contact
SAMANTHA N SMITH
Manager
601-790-0233
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2022-06-23
Last Update Date
2022-06-23
Business Address
CHAMPION CARE, LLC
1850 CHADWICK DR
JACKSON, MS 39204-3404
Phone number: 601-790-0233
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Mailing Address
CHAMPION CARE, LLC
PO BOX 41
RIDGELAND, MS 39158-0041
Phone number:
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