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1952727224
CHAMPION WISEMAN
SANTA ANA, CA
NPI
1952727224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA 13905)
Enumeration Date
2014-03-11
Last Update Date
2014-03-11
Business Address
-- CHAMPION WISEMAN
1905 E 17TH ST 309
SANTA ANA, CA 92705-8628
Phone number: 714-543-0425
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Mailing Address
-- CHAMPION WISEMAN
1905 E 17TH ST 309
SANTA ANA, CA 92705-8628
Phone number: 714-543-0425
Copy
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