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1710311477
BRIAN MICHAEL CHAMPAGNE
BAY CITY, MI
NPI
1710311477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI L1997023)
Enumeration Date
2013-08-29
Last Update Date
2013-08-29
Business Address
BRIAN MICHAEL CHAMPAGNE PTA
3707 KATALIN CT
BAY CITY, MI 48706-2161
Phone number: 989-439-1102
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Mailing Address
BRIAN MICHAEL CHAMPAGNE PTA
3707 KATALIN CT
BAY CITY, MI 48706-2161
Phone number: 989-439-1102
Copy
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