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1962901793
CLAY JOSEPH CHAMPION
GALLUP, NM
NPI
1962901793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KY 1143237)
Enumeration Date
2018-02-07
Last Update Date
2018-02-07
Business Address
CLAY JOSEPH CHAMPION RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
CLAY JOSEPH CHAMPION RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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