Gina Champlain

NPI #1801145743 in Antlers, Oklahoma

Provider Information

NPI Number
1801145743
Entity Type
Individual
Name
Gina Champlain
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Sep 6, 2012
Last Updated
Sep 6, 2012

Practice Location

Address
1322 W MAIN
ZIP Code
74523-0000
Phone
(580) 298-5062

Specialties & Taxonomy Codes

Specialty
Counselor

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