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Individual
MICHAEL K CAMPBELL
Active
Individual
MICHAEL K CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/23/2011
Last updated
03/22/2012
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