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Individual

CAMPBELLE BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 817-1887
Mailing address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 817-1887

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/30/2022
Last updated
07/07/2022
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