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1912627332
JENELLE CHAMP
WASHINGTON, DC
NPI
1912627332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
(Licence: MD MT0139037)
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
JENELLE CHAMP
630 FARRAGUT ST NW
WASHINGTON, DC 20011-4010
Phone number: 202-547-3714
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Mailing Address
JENELLE CHAMP
14108 BRAMBLE CT APT T2
LAUREL, MD 20708-1214
Phone number:
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