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1689654659
MATTHEW CHAMPEAU
BRISTOL, CT
NPI
1689654659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CT 001690)
Enumeration Date
2006-01-18
Last Update Date
2007-11-16
Business Address
-- MATTHEW CHAMPEAU PA
41 BREWSTER RD
BRISTOL, CT 06010-5161
Phone number: 860-585-3000
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Mailing Address
-- MATTHEW CHAMPEAU PA
PO BOX 2699 DEPT 200
HARTFORD, CT 06146-2699
Phone number: 866-898-7138
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