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1871710731
KEITH EDWARD CHAMPEN
AURORA, IL
NPI
1871710731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-012125)
Enumeration Date
2007-04-19
Last Update Date
2020-04-09
Business Address
MR. KEITH EDWARD CHAMPEN PT
2111 OGDEN AVE
AURORA, IL 60504-7597
Phone number: 630-978-3800
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Mailing Address
MR. KEITH EDWARD CHAMPEN PT
2111 OGDEN AVE
AURORA, IL 60504-7597
Phone number: 630-978-3800
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