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Debra Champouillon
NPI 1306102660 · on the registry since 2012 · sole proprietor
Practice
- Address
- 412 County Route 10
Apt.B4
Pennellville, NY 13132 - Phone
- (315) 488-2951
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York