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1790861953
CARROLL MARC CHAMPAGNE
PINEVILLE, LA
NPI
1790861953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 850513)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Mr. CARROLL MARC CHAMPAGNE L.P.N.
UNIT 6, MEADOW LANE CENTRAL LOUISIANA STATE HOSPITAL
PINEVILLE, LA 71360
Phone number: 318-484-6400
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Mailing Address
Mr. CARROLL MARC CHAMPAGNE L.P.N.
2747 HIGHWAY 28 E APT 306
PINEVILLE, LA 71360-5700
Phone number: 318-449-9615
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