Individual
WHITNEY CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 FONDREN PL, JACKSON, MS 39216-3902
(360) 789-7140
Mailing address
515 FONDREN PL, JACKSON, MS 39216-3902
(360) 789-7140
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0736
MS
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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