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Individual
JERRY LEE CAMPBELL JR.
Active
Individual
JERRY LEE CAMPBELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4007079
KY
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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