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Individual
SANDRA G CAMPOS
Active
Individual
SANDRA G CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22595
CA
Other
Enumeration date
10/01/2012
Last updated
09/04/2015
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