Individual
CHAMPAGNE DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 233-1650
Mailing address
3985 SILVER SPRINGS LN, COLUMBUS, OH 43230-9875
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.157713
OH
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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