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Joseph Robert Champa, LRD

Dietitian, Registered in Dickinson, ND. Individual provider (NPI-1).

NPI number1790032829
StatusActive
Last updated in NPPESAug 8, 2012

Details

NPI
1790032829
Entity type
Individual (NPI-1)
Name
Mr. Joseph Robert Champa
Credential
LRD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 8, 2012
Last updated
Aug 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered864NDYes

Practice location

2358 4th St W
Dickinson, ND 58601-2433

Phone 701-260-4053

Mailing address

2358 4th St W
Dickinson, ND 58601-2433

Phone 701-260-4053

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Other Registered Dietitian providers in Dickinson, ND

All 9 Registered Dietitian providers in Dickinson · All 954 providers in Dickinson

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