COREY A CHAMPEAU

FARMINGTON, CT
NPI1992756308
Former NameCOREY A RICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  001691)
Enumeration Date2006-05-12
Last Update Date2010-04-20
Business Address
-- COREY A CHAMPEAU P.A.
263 FARMINGTON AVE NEONATOLOGY
FARMINGTON, CT 06030-2948
Phone number: 860-679-3105
Mailing Address
-- COREY A CHAMPEAU P.A.
65 KANE ST PROVIDER ENROLLMENT - ELLIE ATKINS
WEST HARTFORD, CT 06119-2110
Phone number: 860-523-6421
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