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1730469990
RAYNIDO CHAMP
PORTSMOUTH, VA
NPI
1730469990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: VA 0101041255)
Enumeration Date
2011-08-19
Last Update Date
2011-08-19
Business Address
Dr. RAYNIDO CHAMP M.D.
4440 HATTON POINT RD
PORTSMOUTH, VA 23703-4002
Phone number: 757-483-0857
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Mailing Address
Dr. RAYNIDO CHAMP M.D.
4440 HATTON POINT RD
PORTSMOUTH, VA 23703-4002
Phone number: 757-483-0857
Copy
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