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1740532167
DANIEL A CHAMPAGNE
ANDREWS, TX
NPI
1740532167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT4922)
Enumeration Date
2012-10-09
Last Update Date
2012-10-09
Business Address
Mr. DANIEL A CHAMPAGNE LAT
1400 NW AVENUE K
ANDREWS, TX 79714-3860
Phone number: 432-524-1973
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Mailing Address
Mr. DANIEL A CHAMPAGNE LAT
405 NW 3RD ST
ANDREWS, TX 79714-5014
Phone number: 432-523-3640
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