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1841944196
CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR
BEAUMONT, TX
NPI
1841944196
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Entity Type
Organization
Authorized Contact
BRANDI PICKERING
Credentialing
409-239-9467
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2022-02-07
Last Update Date
2023-07-12
Business Address
CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR
2850 EASTEX FWY # 100
BEAUMONT, TX 77703-4645
Phone number: 409-347-8989
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Mailing Address
CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR
2850 EASTEX FWY # 100
BEAUMONT, TX 77703-4645
Phone number: 409-347-8989
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