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Individual

CATHERINE CHAMPAGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
324 ELM ST, SUITE 202B, MONROE, CT 06468-2280
(203) 567-0306
Mailing address
61 ANN DR, BETHANY, CT 06524-3133

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
005032
CT

Other

Enumeration date
08/15/2012
Last updated
08/15/2012
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