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1881865061
KATHE S CHAMPAGNE
LILLIAN, AL
NPI
1881865061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: AL 96872008)
Enumeration Date
2008-03-17
Last Update Date
2008-04-17
Business Address
Mrs. KATHE S CHAMPAGNE Optician
12999 6TH STREET
LILLIAN, AL 36549-4107
Phone number: 251-962-3077
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Mailing Address
Mrs. KATHE S CHAMPAGNE Optician
12999 6TH ST
LILLIAN, AL 36549-4107
Phone number: 251-962-3077
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CHAMPAGNE OPTICAL