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Individual

MISS SUZANNE E. CHAMPAIGN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1100 N 35TH ST, PHOENIX, AZ 85008-5210
(602) 381-4665
(602) 381-4662
Mailing address
2702 E FLOWER ST, PHOENIX, AZ 85016-7461
(602) 381-6018
(602) 381-6020

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN158057
AZ

Other

Enumeration date
04/29/2010
Last updated
04/29/2010
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