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1871766949
STACEY CHAMPION
RALEIGH, NC
NPI
1871766949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XR0403X Occupational Therapist, Driving and Community Mobility
(Licence: NC 3393)
Enumeration Date
2008-04-09
Last Update Date
2008-04-09
Business Address
Mrs. STACEY CHAMPION
3724 NATIONAL DR SUITE 110
RALEIGH, NC 27612-4070
Phone number: 877-781-9565
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Mailing Address
Mrs. STACEY CHAMPION
3724 NATIONAL DR SUITE 110
RALEIGH, NC 27612-4070
Phone number: 877-781-9565
Copy
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