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Individual
MR. JAMES RICHARD CAMPANA II
Active
Individual
MR. JAMES RICHARD CAMPANA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004373
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN004373
STATE LICENSE
PA
Enumeration date
01/21/2011
Last updated
01/21/2011
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