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Individual
CAMELLA M POTTER
Active
Individual
CAMELLA M POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1959
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396159109
NPI2
—
05
—
500665861
—
OR
05
—
500672146
—
OR
Enumeration date
06/17/2013
Last updated
03/17/2018
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