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Individual
J CAMPBELL GAUNT
Active
Individual
J CAMPBELL GAUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19468
BCBS
FL
05
—
620103200
—
FL
Enumeration date
08/31/2006
Last updated
02/24/2022
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