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Individual

TERRY DEAN CAMPBELL

Active
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Individual

TERRY DEAN CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
124392
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050184
—
NC
01
—
P00261910
RAILROAD MEDICARE
NC
Enumeration date
06/28/2006
Last updated
07/08/2007
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