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1598902546
EDWIN J CHAMPAGNE
SAN ANTONIO, TX
NPI
1598902546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: TX AT2538)
Enumeration Date
2009-01-13
Last Update Date
2015-11-26
Business Address
MR. EDWIN J CHAMPAGNE MED, ATC, LAT
7173 FM 1628
SAN ANTONIO, TX 78263-9671
Phone number: 210-581-1181
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Mailing Address
MR. EDWIN J CHAMPAGNE MED, ATC, LAT
7173 FM 1628
SAN ANTONIO, TX 78263-9671
Phone number: 210-649-2951
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