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1952878498
BRENT MICHAEL CHAMPAGNE
HARAHAN, LA
NPI
1952878498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
Enumeration Date
2018-11-01
Last Update Date
2021-05-17
Business Address
BRENT MICHAEL CHAMPAGNE
5606 JEFFERSON HWY
HARAHAN, LA 70123-5111
Phone number: 504-733-0254
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Mailing Address
BRENT MICHAEL CHAMPAGNE
21756 STATE ROAD 54 STE 102
LUTZ, FL 33549-2905
Phone number: 727-475-5540
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