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1922096643
RICHARD ALAN CHAMPANY
SHIPROCK, NM
NPI
1922096643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM 1783)
Additional Taxonomies
122300000X Dentist
(Licence: AZ 3962)
Enumeration Date
2005-10-06
Last Update Date
2007-09-18
Business Address
Dr. RICHARD ALAN CHAMPANY DDS MPH
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6401
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Mailing Address
Dr. RICHARD ALAN CHAMPANY DDS MPH
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6401
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