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Individual
WANDA LINNETT CAMPBELL
Active
Individual
WANDA LINNETT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002998
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427223965
—
VA
01
—
P00686683
MEDICARE RAILROAD
VA
Enumeration date
04/25/2008
Last updated
05/05/2009
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