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PATRICIA CHAMPION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 614-2006
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1018809
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1018809
REGISTERED DIETITIAN LICENSE
AR
Enumeration date
10/04/2016
Last updated
10/25/2024
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