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Individual
MRS. AMARANTA AMATISTA CAMPOS
Active
Individual
MRS. AMARANTA AMATISTA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MT-15113
AZ
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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