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Randall E Champion
Driver in Farmington, Arkansas
NPI 1902363849

Randall E Champion is a Driver based in Jonesboro, AR. Randall E Champion practices in Farmington, AR. The NPI Number for Randall E Champion is 1902363849 and holds a License No. 938795393 (Arkansas).

The current practice location address for Randall E Champion is 120 Southwinds Rd Ste 2, Farmington, AR and can be reached out via phone at 479-300-6400.

Location: 120 Southwinds Rd Ste 2, Farmington, AR, 72404-9119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902363849
Provider Name
Randall E Champion
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 Southwinds Rd Ste 2, Farmington, AR, 72404-9119
Phone Number
479-300-6400
Fax Number
Provider Enumeration Date
02/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Southwinds Rd Ste 2
City
Farmington
State
Arkansas
Zip
72730-8652
Phone Number
479-300-6400
Fax Number
person
Provider Business Mailing Address Details
Address
120 Southwinds Rd Ste 2
City
Farmington
State
Arkansas
Zip
72730-8652
Phone Number
479-300-6400
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
938795393 (Arkansas)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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