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Individual

GRIFFON CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
211 SUDDERTH DR, RUIDOSO, NM 88345-6002
(575) 999-9999
Mailing address
PO BOX 2795, SILVER CITY, NM 88062-2795

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R13894
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85205
NM
Enumeration date
06/17/2005
Last updated
04/28/2011
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